PATIENT/RESIDENT _____GEORGE DANIELS_____

Date
6/7/11

Problems or Needs
RESIDENT BEING TREATED WITH ANTIBIOTICS FOR ____ UPPER RESPIRATORY INFECTION ____ URINARY TRACT INFECTION ____ WOUND INFECTION

Goal
WILL HAVE NO FURTHER SIGNS AND SYMPTOMS OF INFECTION WITH COMPLETION OF ABT THERAPY/LAB REVIEW AS INDICATED

Approach
____ 1). MEDICATION AS ORDERED. ____ 2). MONITOR TEMPS EVERY SHIFT AND PRN ____ 3). ENCOURAGE FLUIDS ____ 4). OBSERVE FOR INCREASED DISCOMFORT

____ CELLULITIS ____ EYE INFECTION ____ PROPHYLACTIC ____ 0THER _____________

____ 5). NEB TREATMENTS , OXYGEN, AND INHALERS AS O ____

6). CHECK LUNG SOUNDS, PRODUCTIVE COUGH

____ 7). CHECK O2 SATS EVERY SHIFT AND PRN ____ 8). MONITOR FOR REDNESS, SWELLING, DRAINAGE &

___ 9). CHANGE DRESSING AS ORDERED ___ 10). KEEP EYES CLEAN AND FREE OF DRAINAGE
OF INCREASED DRAINAGE AND REDNESS
____ 11). MONITOR LABS AS INDICATED ____ 12). KEEP MD & FAMILY INFORMED OF ANY CHANGES ____ 13). MONITOR URINE FOR ODOR,COLOR & CLARITY

AND