Chapter 24-Asepsis and Infection Control Case Study PDF

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Case Studies, Chapter 24, Asepsis and Infection Control

1. You are a nurse caring for a 73-year-old farmer who was brought to your emergency department via ambulance after she fell while caring for her chickens. The external rotation of her left foot indicates the high likelihood that she fractured her hip with the fall. As you prepare her for surgery, you note that the health care provider has ordered the insertion of a urinary catheter. (Learning Objectives 1, 3, and 4) a. Outline measures you would take to prevent infectious agents from being introduced during her catheter insertion. Measures I would take from preventing infectious agents from being introduced to her catheter would be hand hygiene. I would also put on the proper PPE, creating a sterile field for my utensils. Another thing I would be very mindful with not containing my sterile gloves. b. List potential reservoirs for infection that could contaminate this procedure. Potential reservoirs that can contaminate this procedure is the patients urinary tract, the nurse’s mouth and hands. c. How does correctly utilizing sterile technique impact the cycle of infection? Correctly utilizing a sterile technique will stop microorganism from infection the patient and the patient possibly infection others around her. d. Describe how violation of sterile technique could introduce pathogens in this procedure.

Violation of a sterile technique can introduce the patient to multiple hospital acquired infections. e. Indicate the factors that would make your patient a susceptible host to infection. The patient having a urinary catheter would make her susceptible for hospital acquired infection like a UTI. Also, the patient would be susceptible to exogenous and endogenous infections.

2. As a nurse in a family practice, you frequently see children as patients---many times in sibling groups who all demonstrate the same symptoms. Parents of your patients will call on the phone and request a prescription for antibiotics to treat their child’s symptoms. (Learning Objectives 1 and 8) a. Why is prescribing antibiotic therapy over the phone for reported symptoms not the best practice? Prescribing medication over the phone is not best practice because the parent can misinterpret the symptoms the patient can be having. b. How does your patient’s body typically resist infection? The body typically resist infection with the first line of defense: the skin. If the infection/bacteria gets through the skin then the second line of defense is the immune system. c. How do antibiotics affect viruses? Antibiotics do not work on viruses. They are used for bacterial-infection d. Outline factors that contribute to an organism’s disease-causing potential.

Organism’s disease causing potential are not performaning hand hygiene, breaking a sterile field, not wearing proper PPE, cross contaminating. e. How might providing parents with education regarding standard precautions impact the spread of infection within the family unit? Teaching of standard precautions will help in a family unit by stopping the spread of infection. As a family living under the same roof, a good majority of the time theyre touching the same things. If one person (who has been contamined) doesn’t perform hand hygiene yet goes to touching other things, the rest of the family gets contamined....