A nurse manager on an oncology nursing unit notes an increased incidence of infection and serious consequences for clients on the unit. Which action by the nursing manager is most bene-ficial in this situation?
a. Review asepsis policies at a mandatory in-service for staff.
b. Spot-check all staff for good handwashing practices.
c. Develop standard protocols to identify and treat clients with infection.
d. Institute protective precautions for all clients receiving chemotherapy.
C
Treatment delays have a serious negative impact on neutropenic clients with infection. Nursing units should have standardized protocols to obtain cultures and diagnostic tests, and to start anti-biotics as soon as a client is suspected of having an infection. In-services and spot-checking for good handwashing practice are good ideas as part of a comprehensive infection control practice but are not as important as standard protocols that ensure rapid diagnosis and treatment. Not all clients on chemotherapy will need protective precautions.
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