Common Risk Factor
- Bone marrow harvest: Interruption of skin and bone integrity secondary to bone marrow aspirations
Common Expected Outcome
- Patient is free of infection, as evidenced by normal temperature and lack of drainage from puncture sites, or by lack of signs and symptoms of infection from the central venous catheter.
- Observe or encourage the patient to observe the puncture sites during dressing change for evidence of infection: redness, tenderness, warmth, swelling; drainage from skin puncture sites; persisting or increasing pain at the operative site or surrounding area; elevated body temperature. Osteomyelitis is a possible complication of bone marrow aspiration. Bone marrow donors can also get cutaneous infections if the puncture sites are not properly cared for.
- Instruct the patient to report first signs of infection. Early assessment facilitates prompt treatment.
- While the patient is hospitalized, obtain culture, if ordered, before the wound is cleansed. This is required to obtain a true sample of microorganisms present.
- Change or instruct the patient to change the postoperative pressure dressing the day after harvest. Moist dressings can harbor pathogens. Pressure dressings should remain in place for 24 hours to reduce the incidence of bleeding and hematoma formation.
- Instruct the patient to use clean technique when performing daily dressing changes: wipe over each skin puncture site with prescribed antiseptic; let dry; apply small amount of antiseptic ointment to each puncture site; cover with sterile adhesive bandage; keep dressings dry and intact. This technique reduces the risk of infection.
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