Finding Solutions
The plan of correction established by the Director of Nursing and Educator included developing a policy and procedure for skin care based on best community practices. The policy and procedure begins on admission assessing resident for skin breaks and areas at risk for pressure. Each day the nursing assistant validates skin integrity of their residents. The changes in the skin integrity are reported immediately to the unit nurse (the unit nurse informs the RN supervisor). The nursing assistant documents skin integrity findings on the certified nursing assistant accountability record each day. The registered nurse or unit nurse reports any changes to the physician on-call immediately.