SISON,MELANIE B.
BSN II                                                                                                              CI: Mrs. Rosemarie Tadena
 ASSESSMENT          NURSING                  IMPLEMENTATION                         INTERVENTION                        RATIONALE                       EVALUATION
                    DIAGNOSIS
 OBJECTIVE:     Risk for infection   After one hour of intervention, the                                                                         After one hour of
                related to fresh     mother will learn how to give         1. Note risk factors for            1. Identifying the area of        intervention, the mother
     Not       umbilical cord       proper cord care by:                     occurrence of infection             which serves as a              learned how to give proper
      exposed                                                                                                     beneficial environment for     cord care by:
                                          Giving the proper and                                                  bacterial growth will help
                                           hygienic method of                                                     the mother recognize           1. Giving the proper and
                                           cleaning the remaining                                                 areas that will need              hygienic method of
                                           umbilical cord.                                                        thorough cleaning.                cleaning the remaining
                                                                                                                                                    umbilical cord.
                                                                           2. Assess and document skin         2. Assessing the skin
                                                                              conditions around the base of       conditions around the base
                                                                              the umbilical cord.                 of the umbilical cord will
                                                                                                                  enable the mother
                                                                           3. Stress proper hand washing       3. This will help to reduce
                                                                              techniques.                         invasion of bacteria’s
                                                                           4. Proper application of betadine   4. For the safety and
                                                                              and alcohol on the tip of the       cleanliness of the umbilical
                                                                              cord.
                                                                                                               5. prevent spread of infection
                                                                           5. Instruct client how to protect      around the base of the
                                                                              the integrity of the skin.          umbilical cord.