Policy & Procedure for

Documentation of Skin/Wound Problems

 with SAEnCompass and MDS 3.0

 

Assessment:

1.    On Admission:

a.    During shift of admission the skin risk assessment will be done and documented in Assessment Editor.

b.    The head-to-toe exam of the resident’s skin will be done within the first 24 hours and documented in the LTC Physical in the Assessment Editor (AE) area or in a charting entry.

c.    If any lesions are present, each will be recorded as a skin incident in the Risk Incidents (RI) area.

2.    On-going assessment and evaluation:

a.    Each quarter the Skin Risk Assessment in AE during the reference period and the LTC Physical in AE will be a part of the part of the quarterly Comprehensive Assessment update and care plan review.

b.    Each resident will have a weekly assessment of skin condition.  A treatment order for “Weekly Assessment of Skin Condition” will be entered (Type = SA Type/Skin/Wounds) in Orders and Conditions (OC) for each resident.  Each week the results of this assessment will be entered in Shift Entries, Skin/Wounds. (Note that if the resident has no existing skin incidents documented in RI, there will not be a Skin/Wound to select from the drop-down list for this S/W Treatment.)

3.    In the event of a skin/wound problem develops or is present at admission:

a.    A treatment order will be entered (Type = SA Type/Skin/Wounds) if needed in Orders and Conditions (OC).

b.    A skin/wound event will be entered in the Risk Incidents (RI) area of SAEnCompass to document the initial discovery or the condition on admission.  This will allow the treatment in 3a above to be linked to the specific skin/wound. Click on the  button to go to the AE area and do an updated Skin Risk assessment.

c.    The follow-up and progress charting for all skin/wounds will be documented in the Shift Entries area Skin/Wound tab.

                                          i.    Documentation of observation and treatment of a skin/wound will be done at least daily in Shift Entries, Skin/Wound tab; the assessment and comment field will be utilized.

                                         ii.    Measurement of the skin/wound will be done at least weekly, including drainage, etc.

Care Plan:

  1. Each resident who has any open skin condition will have a care plan problem providing the staff with a treatment plan that includes treatment of the current wound along with preventative interventions.
  2. All residents who do not have any current skin condition will have interventions within the ADL care plan problem for preventative skin care.