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