Quote from moshimoshi
As a nursing student, I took one diabetic patient with non-healing cellilitis on his left foot. After the patient had a debridement, the doctor wrote an order, "S/P I & D." I understand it stands for "Status post incision and dressing." (My RN told me.) What exactly does this mean? What are my nursing actions for this doctor's order? Thank you.
I understand it to be "status post incision and debridement" - and just that statement alone would not be construed as an order unless your unit has a standing protocol or order for that sort of thing?
further orders depend upon your facility's protocols, whether the wound is packed and/or wet/dry dressings ordered, etc. In some cases a WOC (wound, ostomy, continence) consult is needed.
At the very least you want to assess the wound and dressing, the patient's vitals and condition post-op. If antibiotics or other meds are ordered make sure those are given as ordered. check labs.
It doesn't sound like your RN gave you very complete info, check with them again, another RN on the floor or your instructor for clarification. As a student you should not be left on your own to figure out what to do since you are obviously new to clinicals.