Final answer:
For nurses caring for patients after a stem cell transplant, the in-service should emphasize placing clients in positive pressure airflow rooms, avoiding rectal temperature measurements, and possibly not requiring an N95 mask unless there's an airborne infection. Nurses should operate under direct supervision and follow strict infection control protocols.
Step-by-step explanation:
When planning an in-service for nurses about caring for patients following a stem cell transplant, there are specific protocols to be followed to ensure patient safety and infection prevention. To maintain a sterile environment for these immunocompromised clients, nurses should not assign patients who have had a stem cell transplant to the same room due to the risk of cross-contamination. While obtaining vital signs is crucial, taking a rectal temperature is not recommended due to the risk of causing injury and introducing germs; less invasive methods should be used instead.
As for respiratory protection, wearing an N95 respirator mask is not typically required unless the patient has an airborne infection. However, it is essential to place clients in positive pressure airflow rooms. This helps to protect them from potential airborne pathogens by ensuring that air flows out of the room rather than into it, reducing the chance of contaminated air entering the space.
Directing the in-service, the nurse manager should also emphasize the importance of the direct supervision of a registered nurse during the provision of care, which may include dialysis treatments, assessing patient needs, and monitoring the treatment process to maintain sterile procedures.
In preventing infection, it's crucial to isolate patients like Marisa to prevent infection spread and adhere to strict protocols which include rigorous hand hygiene and disinfection practices among hospital staff.
Finally, a general review of care and recovery protocols are essential to the success of an in-service, which might include a review by the surgical team, nurse, and anesthesia professional of concerns about patient care and recovery.