Introduction Show
Aim Definition of Terms Patient Group Physical Assessment Pin Site Care Dressings Ongoing Assessment and Care Discharge planning/Education Needs Family Care Follow up/Review Special Considerations Companion Documentation Links Evidence Table IntroductionPin site care is a dressing procedure
used to reduce the incidence of infection in patients undergoing treatment with an external fixator. External fixation is used for limb lengthening correction of deformity or to treat complex fractures of the limb. The patient requires preparation for the procedure, as many children can find this procedure distressing. A positive early experience can contribute to a smooth transition and successful subsequent dressings at home. This guideline aims to simplify the process by providing
a guide for the clinician to easily complete this task with confidence. There is little concrete evidence in the literature to inform practice, however many similar processes have slowly been adopted in many centres around Australia and indeed the world. Aim
Definition of terms
Related documents
Patient groups
Physical assessmentInitial / acute
Pin site care dressings
Assessment of pin site / wounds
Ref: W- Dahl, A. & Toksig-Larsen, S. (2004). Pin site in external fixation sodium chloride or chlorhexidine solution as a cleaning solution. Orthopaedic Trauma Surgery, 124: 555-558 Ongoing assessment and Care
Management of Irritation and Infection
Discharge Planning / Education Needs
Family care issues
Family able to purchase dressing stock from RCH's
Equipment Distribution Centre. If unable to purchase, refer to Social Work. These must be purchased prior to patient discharge Follow up / Review
Special Considerations
Companion Documents
Links
Evidence TableEvidence table: Pin Site Care Evidence Table Please remember to read the disclaimer. The development of this nursing guideline was coordinated by Cheryl Dingy, Nurse Co-ordinator Limb Reconstruction, Orthopaedic department, and approved by the Nursing Clinical Effectiveness Committee. Updated January 2021. Which should the nurse include when teaching a client with C diff about decreasing the risk of transmission to family members?infections, doctors, nurses, and other healthcare providers: Clean their hands with soap and water or an alcohol-based hand rub before and after caring for every patient. This can prevent C. diff and other germs from being passed from one patient to another on their hands.
Which strategy is most effective for preventing the transmission of infection?Hand hygiene is the most important measure to prevent the spread of infections among patients and DHCP.
How would the nurse describe the exudate characteristic of serosanguineous wound?Serosanguinous drainage is the most common type of exudate that is seen in wounds. It is thin, pink, and watery in presentation. Purulent drainage is milky, typically thicker in consistency, and can be gray, green, or yellow in appearance. If the fluid becomes very thick, this can be a sign of infection.
Which one is the most common cause of ophthalmia neonatorum in infants born to adolescent mothers?Chlamydia is the most frequent identifiable infectious cause of ophthalmia neonatorum.
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