At Nightingale, the surgical floor has done an outstanding job with assessing the risk of skin breakdown.  In the tracer case, there was an assessment was done on admission. Due to the patients post-operative infection and their poor nutritional intake, it was determined that the patient was at risk for skin breakdown.  After making this determination, they also checked for breakdown that was already present and then ensuring that the patient was placed on a specialty bed to prevent any future breakdown.
One area where the surgical floor has not done as well is with their care plans.  In our tracer case, we see that the plan of care was done initially but that it has not been updated in the last 7 days.  Per the joint commission standards, the patient should be reassessed as...