What is the nurse's priority goal when providing care for a child with an external fixation device?

The primary focus when caring for a child with an external fixation device is to prevent infection. External fixators are utilized to stabilize fractures, and since they are implanted during surgical procedures, there is an inherent risk of bacterial infection at the surgical site. Open areas where pins enter the skin can provide an entry pathway for pathogens, making it essential for nurses to implement infection control measures rigorously.

Preventative strategies may include thorough hand hygiene, maintaining a clean environment, monitoring the pin sites regularly for signs of infection such as redness, swelling, or drainage, and teaching both the child and caregivers about signs of infection to watch for after discharge. By prioritizing the prevention of infection, nurses can help ensure that the healing process proceeds without complications, which directly impacts the child's recovery and overall well-being.