Wound Management - Level 3

Clint D. Fullerton is a 67 year old male who was admitted to the medical/surgical floor for treatment of a left ankle ulceration and is on contact precautions for CDiff. He has a past history of diabetes, hypertension, venous insufficiency and self-care deficits. He has a PICC line in the left brachial. His last Vancomycin dose was last night at 2000 so he is due for his morning dose. Peak Vancomycin levels were drawn after last night’s dose, but the night RN has not seen the critically elevated results yet.

1. Demonstrate proper infection control
2. Complete a head to toe assessment
3. Complete a focused wound assessment
4. Recognize and respond to abnormal findings
5. Safely administer medications: IV, central line
6. Safely draw from central line
7. Document accurately
8. Demonstrate appropriate therapeutic communication
9. Demonstrate appropriate interprofessional communication
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