MedSurg3- ATI Remediation

Safety and Infection Control Home Safety Musculoskeletal Trauma: Discharge Teaching About an External Fixation Device (RN QSEN - Safety, Active Learning Template - Basic Concept, RM AMS RN 10.0 Chp 71)  External fixation involves fracture immobilization using percutaneous pins and wires that are attached to a rigid external frame.  Care of fixation device is to clean the external fixation pins one to two times each day to remove exudate that can harbor bacteria. Use separate cotton swabs on each pin to decrease risk of pin site infection.  Advise client to report redness, heat, drainage at pin site. These can indicate infection leading to osteomyelitis. Talk about clothing options, activity restriction, dep breathing exercises, leg exercises to prevent risk of pneumonia and thrombus formation. Health Promotion and Maintenance Health Promotion/Disease Prevention Health, Wellness, and Illness: Identifying Risk Factors for Atherosclerosis (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 1)  Atherosclerosis is caused by gradual thickening of the arteries, results in progressive narrowing of the lumen.  Plaques form on walls of arteries causing the structure to be rough and fragile.  Family history is a predisposing factor, high blood pressure, smoking, diabetes, obesity, unhealthy cholesterol levels are all major risk factors for atherosclerosis.