Nursing Study Guide/Care of Haematological Needs

Care for client with immune impairment

 * Isolate client and provide gloves, gown and masks for visitors and health workers to reverse barrier (protect client)
 * Prioritize care to minimize disruption to clients environment, clean procedures first.
 * Use single room if CRP >15 Pressuruized room if client CRP>60
 * Avoid introduced food, gifts and flowers
 * Allocate daily cleaning
 * Select diet with high lactobacillus and good food safety (eg no icecream because of the bacteria count)
 * Eliminate fresh salads and unpeeled fresh fruits or vegetables.
 * Deep breathing and coughing to avoid stagnation.
 * Provide client with mask for ambulation outside room.
 * Observe and protect skin (prevent breakdown)
 * Observe fastidious hygiene measures and five moments of hand hygiene.
 * Mouth care and disinfectant mouthwash
 * Monitor IV site and Consider Central line to prevent peripheral thrombophlebitis.
 * Four hourly vital signs.
 * Continue until white cell count is in normal range (ANS Absolute Neutrophile count >1500 cells per microliter)
 * ICNP diagnosis 10022996 Immunologic Impairment or equivalent