My clinical experience this week was in the intensive care unit (ICU). I was assigned to a patient who was admitted for a left lower extremity cellulitis. This patient surgery on the left leg and a wound Vac was place on the site with a suction of 150mmHg. Left leg is wrapped with a surgical bandage and an ACE wrap. The patient was intubated post-op due to no gag reflex, is NPO and on sedation for bed rest. Patient is on contact isolation due to the infection. Patient has a central line for IV’s and lab draws when indicated. The ABG’s showed respiratory alkalosis. Additionally, the patient is on tubed feeding running at 85ml/hr with 25ml/hr flushes due to the patient unable to wean off ventilation.
A little background about cellulitis. It is an infection that affects the deep underlying tissues and the surface of the skin. It is usually caused by the group A streptococcal bacteria through skin injury such as burns, bruises, an opened wound or a surgical cut. The symptoms of this infection are chills and fevers, painful rash that is tender and red, the skin might have scabbed over blisters, lymph nodes and glands that are swollen. It is diagnosed from blood tests and skin culture to …show more content…
In this particular setting, the nurses are seen working together as a team. Even though patients are assigned to individual nurses, I witnessed the constantly asking their co-workers if they need help and also answering machines that were going off together with patient’s call lights. Collaboration of care was seen between doctors taking care of this patient. They constantly check with each other on what is best and what new approach to take to the benefit of the patient. I saw the kidney doctor, the orthopedic specialist, the infectious disease and the general practitioner working closely together as a team with each one bring their level of expertise to safe the patient’s