The following feedback for the chapter case study is meant to provide guidance for your own practice. The answers provided are suggestions, and you may have additional ideas which are not covered below. Then, the resolution of the case as it occurred in real life is provided for your reference.
After the nurse notifies the doctor of the symptoms, what precautions do you expect may be needed? Why?
Contact precautions to reduce the spread of the infection from the incision drainage to others from contact with skin/linens.
If you believe there should be precautions, should there be signs posted?\
Yes, signs should show contact precautions and the PPE needed.
In your role to assist the client, assisting with meals, walking to and from the bathroom, transporting to tests, changing linens, how will the precautions that need to be in place affect your practice?
A gown and gloves should be worn when in contact with the client, clothing or their linens. The client should be well covered at all times when out of her room.
What will you need to do to protect the client and yourself?
Practice the contact precaution protocol consistently, and reinforce the practice.
Will there be precautions for visitors? If so, what will they be?
Yes, they will need to follow the same contact precautions, the visitors will need to be instructed in the precautions and PPE to use.
Kiona was diagnosed with an incision infection, placed on contact isolation, prescribed an IV antibiotic and an oral antibiotic, and held two extra days in hospital until her symptoms subsided. The infection was contained to this client due to infection control practices.