St.

Anthony’s College
San Jose, Antique
Nursing Department

Name: Operation Performed: Appendectomy Drop Method in Rocky Davies

Age/Sex: Perioperative Phase: Post-operative Phase
NURSING CARE PLAN

CUES NURSING RATIONALE PLANNING INTERVENTION RATIONALE EVALUATION

DIAGNOSIS

Risk for infection GENERAL: INDEPENDENT: GENERAL:

related to post- After 2 hours of nursing After 2 hours of nursing
surgical incision. Reference: intervention, will be free Establish rapport to the patient To gain the trust and cooperation intervention, the patient
from any signs and of the patient. was free from any signs
Nurse’s Pocket symptoms of related to and symptoms of related
Reference: Guide, infection. Assess vital signs. To monitor baseline data to infection.
Diagnoses, especially the temperature of the
Herdman, T.H. patient. Fever may indicate SPECIFIC:
Prioritized
(2012). NANDA SPECIFIC: infection. After 2 hours of nursing
Interventions,
International and Rationales. After 2 hours of nursing intervention, the patient
Nursing intervention, the patient Always keep the siderails up. To prevent patient from falling. has partial understanding
M. Doenges, M.
Diagnoses. Moorhouse, A. will have partial about infection control.
understanding about Note risk factors for occurrence of To help patient identify the
Murr. infection in the incision. present risk factors that may add
12th Edition infection control.
up to the infection.
Keep area around wound clean
and dry. Maintain aseptic We area can be lodge area of
technique. bacteria.

Make health teachings especially

in identification of environmental
risk factors that could add up on
infection.
To help the client modify/avoid
some environmental factors
present which could reduce the
incidence of infection.

Name of Student: Racquel V. Canono – BSN 4 Clinical Instructor: Jerry V. Able, RN, MAN