Forms
The form for the Medication Administration Record.
NAVMED 6550/8
Twenty-four hour intake and output worksheet
DD Form 792
Infectious agents that remain infectious over long distances when suspended in the air. Occurs by dissemination of either airborne droplet nuclei or small particles.
Airborne
is a person or other living animal, including birds and arthropods, that affords subsistence or lodgment to an infectious agent under natural.
Host
is an infection occurring in a patient in a hospital or other health care facility in whom the infection was not present or incubating at the time of admission; or the residual of an infection acquired during a previous admission
Nosocomial infection
Three Major categories of primary medical records
Health records, outpatient records, and inpatient records
Emergency care and treatment form
SF 558
Federal agency of the U.S. Government that provides facilities and services for the investigation, identification prevention, and control of disease.
Who sets the Guidelines for disease prevention
Center of Disease Control and Prevention (CDC)
Intended to prevent transmission of infectious agents, including microorganisms which are spread by direct or indirect contact with patient or patient's environment
Contact Precautions
Begin at the point of contact between soft tissue and a hard service (bony prominence)
Hospital-Acquired Pressure Injuries (decubitus ulcers, pressure sores, bedsores)
Orders that are written by the physician is written on this form
SF 508 Doctor's Orders
The Health record folder form
NAVMED 6150/10-19
Manner of walking or moving on foot
To move from place to place
Gait
Ambulate
Intended to prevent transmission of pathogens spread through close respiratory or mucous membrane contact with respiratory secretions
Droplet Precautions
4 Stages of the HAPI
Stage I - Non-blanching erythema of intact skin
stage II - Partial thickness skin loss involving epidermis or dermis
Stage III - Full-thickness skin loss with damage and or necrosis of the subcutaneous tissue.
Stage IV - Full-thickness skin loss extensive destruction and necrosis of overlying structures including muscles, bones, and or tendons.
Form that provides pertinent patient information such as diagnosis, orders for medications, treatments, activity, diet, vital signs, bath, and intake and output. (Patient profile)
NAVMED 6550/12
The five steps of the nursing process
Assessment
Nursing diagnosis
Planning
Implementation
Evaluation
person or animal not possessing sufficient resistance against a particular infectious agent to prevent contracting infection or disease when exposed to the agent
Susceptible
3 elements of the transmission of infectious agents
1. A source or reservoir of infectious agents
2. Susceptible host with a portal of entry receptive to the agent
3. Mode of transmission for the agent
PSI for Low pressure irrigation and high pressure irrigation.
1-2 PSI for Low
>8 PSI for High
Used to document inpatient care
SF 510 Nursing notes
This step is crucial to determine whether the patient's condition or well-being has improved after the application of the nursing process.
Evaluation
Concepts in which all body fluids are assumed to be infected with blood-borne pathogens
Standard precautions
Prevent transmission of infectious agents that remain infectious over long distances when suspended in air
Airborne precautions
At what pressure will wound irrigation cause tissue damage
70 psi
SF 509 Progress Notes
It describes health problems that can be treated by nursing measures, and indicates actual problems and the risk of developing problems.
Nursing Diagnosis
An organism (virus, rickettsia, bacteria, fungus, protozoan, or helminth) that is capable of producing infection or infectious disease.
Infectious Agent
-Hand hygiene before entering and after leaving the room of patient in isolation
-Standard precautions (gloves, gowns, mask)
-Don PPE upon entry to room and Doff PPE before exiting room
-Dispose of contaminated supplies and equipment
Isolation Precautions
The patient states or demonstrates an acceptable level of comfort. The wound demonstrates signs of healing. Amount of wound drainage and tissue inflammation decreases. Surrounding skin integrity is maintained.
vs
Bleeding, increased pain or discomfort, and increased wound dimensions.
Expected outcomes of wound irrigation
vs
Unexpected outcomes of wound irrigation