hand washing
General
SN instructed pt on hygiene r/t wound care. It is very important to maintain a clean environment as well as clean , dry skin. Do not pick at wounds, or at other areas of the skin. Our fingernails harbor bacteria under them, wash hands throughly and often throughout the the day with soap and water, hand sanitizer can be used in between but are not a substitute for proper hand washing.
Instructed patient caregiver clean technique includes tracheostomy care: hand washing, using gloves is optional, re-using a trach tube and/or inner cannula that has been properly cleaned, using prepared sterile water and normal saline, re-using the same trach ties if they are properly cleaned, re-using suction catheters if they are properly cleaned ( up to 8 hrs or 3/per day )
SN instructed patient on importance of hand washing before and after eating, after using the bathroom , after blowing your nose, coughing, or sneezing, after being outside , in order to prevent spread of germs.
Partient is unable for diabetic care due to multiples functional limitation such as poor vision, poor eyes/ hand coordination. No caregiver available at this time.
