Professional Documents
Culture Documents
UY w2d2
UY w2d2
Care of Clients with Problems in Oxygenation, Cardiology, Gastrointestinal, Fluid and Electrolytes,
Infectious, Inflammatory and Immunologic Response, Cellular Aberrations, Acute and Chronic
General Objectives
At the end of 72 hours at Madonna and Child Hospital Surgical Ward, I will be able to:
Demonstrate appropriate evidence-based direct care to: Patient with critical illness and injury,
including life threatening trauma and multi-system organ failure; Post-operative patients from
cardiothoracic, vascular, gastrointestinal, endocrine, orthopedic, neurosurgical, plastics and ENT
procedures.
Specific Objectives
At the end of 8 hours at Madonna and Child Hospital Surgical Ward, I will be able to:
PATIENT:
DATE & TIME: 3/30/2021 2PM-10PM shift
FOCUS: Impaired tissue integrity related to infection as evidenced by
swollen and purplish leg
TIME NURSES’ NOTES
2:00P D: uncontrolled glucose levels, swollen and purplish
M left lower extremity
A:
Maintained hand hygiene when administering
wound care
Provided isolation and monitored visitors
Encouraged position changes q2h
Taught about proper wound care, handwashing,
cleansing, medication administration
Educated about nutrition and hydration
R: verbalized understanding, remained free from
signs of infection
---------------------------------------------------T.K.U, XUSN3