Surgical site infection postoperative complications
- Surgical site infection postoperative complications
- Surgical site/wounds
- Surgical site infection (SSI)
- Contamination of the wound
- Exogenous flora
- Oral flora
- Intestinal flora
- Accumulation of fluid in the wound
- Dehiscence
- Nursing interventions to prevent wound infections/SSI
- Assess the wound
- Note drainage color, consistency, and amount
- Assess effect of position changes on wound/drain tube drainage
- Signs/symptoms of infection
- Ordered prophylactic antibiotics
- Maintain glycemic control
- Surgical wounds nursing diagnosis
- Impaired skin integrity related to surgical incision
- Risk for infection: SSI
- Phase I
- Discharge criteria
- Patient awake (or at baseline)
- Vital signs at baseline or stable
- No excess bleeding or drainage
- No respiratory depression
- Oxygen saturation > 90%
- Pain management
- Nausea and vomiting controlled
- Report given
- Post-anesthesia phase II
- Occurs in
- Inpatient setting
- Intensive care area
- Nursing care focus
- Preparation for care in the home
- Extended observation
- Phase II
- Discharge criteria
- Hemodynamic stability
- Pain and comfort management
- Condition of surgical site and dressings/drainage tubes
- Fluid/hydration status (voided if appropriate)
- Mobility status—can ambulate if not contraindicated
- Emotional status
- Patient safety needs
- Significant other interactions
Gerontologic considerations
- Decreased respiratory function
- Altered vascular function
- Drug toxicity
- Mental status changes
- Pain control