ASSLSSMLN1

Su8!LC1lvL
lve ootlceJ tbot
l btolse eoslly
ooJ olso l feel
weok ooJ tlteJ
oll tbe tlme as
verballzed by Lhe
paLlenL

C8!LC1lvL
lrrlLablllLy
allor of skln and
mucous
membranes
v/S Laken as
follows

1 37
80
8
8 00/80











AGNCSS

8lsk for lnfecLlon
relaLed Lo
lnadequaLe
prlmary
defenses



























LANNNG

AfLer 8 hours of
nurslng
lnLervenLlons Lhe
paLlenL wlll
ldenLlfy acLlons
Lo prevenL or
reduce Lhe rlsk
for lnfecLlon
























N1LkVLN1CN

O 8equlre good
handwashlng
proLocol for
all personnel
and vlslLors

O Lncourage
frequenL
Lurnlng and
deep
breaLhlng

O andle
paLlenL
genLly keep
llnens dry or
wrlnkle free
O lnspecL skln
for Lender
eryLhemaLou
s areas open
wounds
Cleanse skln
wlLh
O AdmlnlsLer
anLlbloLlcs as
lndlcaLed





kA1CNALL

O revenLs
cross
conLamlnaLlo
n or reduce
rlsk for
lnfecLlon
O revenLs
sLasls of
resplraLory
secreLlons
reduclng rlsk
of aLelecLasls
O revenLs
sheeL burn
or skln
excorlaLlon

O ,ay lndlcaLe
local
lnfecLlon




O ,ay be glven
prophylacLlc
ally or Lo
LreaL speclflc
lnfecLlon



LVALUA1CN

AfLer 8 hours of
nurslng
lnLervenLlons Lhe
paLlenL was able
Lo ldenLlfy
acLlons Lo
prevenL or
reduce Lhe rlsk
for lnfecLlon