Documentation for Sterile Wound Irrigation and Dressing Change
ADNG 1050 Foundations of Nursing Skills
Scenario:
· Mr. Hughes is a 67-year-old male that is status post exploratory laparotomy due to a
perforated diverticulitis. He is post-op day 3.
· Mr. Hughes has a midline abdominal incision that was partially left open due to
infection risk. The wound requires daily wound irrigation followed by a wet-to
dry dressing change. The patient has been alert and cooperative but expresses
mild discomfort during the dressing change.
Documentation
To complete: Upload this document to your computer & fill it out electronically (directly into the assignment)
To turn it in: Re-upload it to the correct file/drop box in D2L.
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1. Write a DARP note including:
D: Data
A: Action
R: Response/Results
P: Plan
2. Patient Education (Write as a Script) Keep short and to the point.
3. National Patient Safety Goal (NPSG) Choose 1 priority NPSG that is relevant to this scenario and tell us why in 1 paragraph.
NPSG Chosen: Why It Matters:
4. Nursing Diagnosis & Care Plan
3-Part Nursing Diagnosis:
5. SMART Goal:
Student SMART goal:
List:
· 2 Interventions to accomplish this goal
· Rationale for each intervention
· Evaluation for each intervention
1. Intervention:
· Rationale:
· Evaluation:
2. Intervention:
· Rationale:
· Evaluation: