ASSESSMENT

DIAGNOSIS

PLANNING

INTERVENTION

Subjective:

>Risk for
infection related
to compromised
immune system

>Baby will
remain free from
infection for
duration of
hospitality

Independent:

Wala siyang
ganang dumede,
mainit siya at
matamlay. As
verbalized by the
mother
Objective:
>Increased body
temperature
>Flushed skin
>Increased
respiratory rate

>mother will
verbalize
measures to
decrease
infection in her
newborn by the
end of shift

RATIONALE

>provide
isolation
And monitor
visitors indicated

>restriction of
visitors may be
needed to protect
the
immunosuppress
ed patient.

>Wash hands
before or after
each care
activity, even
gloves are used

>reduces risk of
cross
contamination

>limit use of
invasive devices
or procedures as
possible

>prevent spread
of infection via
airborne droplets

>inspect wounds
or site of invasive
devices

>May provide
clue to the portal
of entry of
microorganisms

Dependent :
Refer to
physician for
administration of
drugs
POTENTIAL DIAGNOSIS
Risk for infection

>to promote
wellness

EVALUATION
After the nursing
intervention, the
patient will
achieve timely
healing and free
from further
infection