When addressing exposure, the nurse carried out a head to toe assessment of Mrs Smith. Sepsis may be apparent by inflamed wounds or red swollen cannula sites. Mrs Smith had no skin breaks or wounds and triple care cream was applied regularly to prevent skin breakdown. No IV cannulas were present on the patient, thus a cannula site was not the cause of infection for Mrs Smith. The patient’s temperature was recorded as 38.3OC, this was a huge deviation from the normal temperature range as per St.
