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