Nursing Care Plan

Problem Identified: Risk for Infection Nursing Diagnosis: Risk for Infection related to surgery Cause Analysis: Surgical site infections are caused by germs, called bacteria. Different types of bacteria may reach the wound and cause infection. The bacteria may come from your skin or from the environment, such as soil, air, or water. They may come from the object that caused your wound or from tools used during the surgery. They may also come from inside the body, where they normally live without doing harm. (Surgical Site Infections, Drugs.com) Cues Objective: Intra-operative Broken skin due to surgical operation After surgical intervention, the aseptic technique will be able to prevent crosscontamination. LTO: After surgical intervention, the patient will be able to be free of signs and symptoms 1. Implement aseptic technique. 2. Performs skin preparations. 3. Initiates traffic control. 4. Assesses susceptibility for infection. 5. Administer care to wound sites. 1. To prevent the patient from acquiring microorganisms from the surgical area and the members of the surgical team. 2. To promote safe, aseptic practice in the site of the surgery. 3. To provide efficiency and crowd control and to lessen risk for contamination of the After surgical LTO: After surgical intervention, the aseptic technique was able to prevent crosscontamination. STO: Expected Outcome Nursing Interventions Independent actions: Rationale Independent actions: Evaluation STO:

of infection.

sterile area. 4. For early detection and early treatment. 5. To hasten the bodys natural repair process and lessen risk for infection.

intervention, the patient is free of signs and symptoms of infection.

References: Nurses Pocket Guide Pages 467-471