Independent, evidence-informed support to sharpen staging accuracy, standardize care, and strengthen documentation—aligned to your facility’s policies and formulary.
What this service is
RN-led consulting that combines chart/documentation audits, plan-of-care alignment, product/formulary guidance, and staff in-services on prevention and best practices. We validate that wound assessments, staging, and interventions match policy and active orders, and we coach teams to document clearly and defensibly.
Scope: RN consulting and education; facility clinicians retain ordering authority (no diagnosis or prescribing).
Who it’s for
Skilled nursing, post-acute, long-term care, and home-health agencies
Units seeking survey readiness, new leader onboarding, or harm-reduction initiatives
Teams standardizing wound prevention and documentation across shifts
Chart & photo audits
Chart & photo audits for correct staging, complete descriptors (location, measurements, tissue type, edges, drainage, periwound), photo practices, and consistency with orders/policy—plus plan alignment to verify interventions match risk level, provider orders, and your prevention bundle (off-loading, moisture management, nutrition consults, device checks).
Products & Formulary Optimization
Product/formulary guidance: choose dressings by wound characteristics, standardize supplies, and set stocking/par levels to reduce waste and variation.
Staff Training & Documentation
In-services & skills refreshers on prevention basics, dressing support per active orders, clean workflow, and escalation cues—using plain-language teaching and return demonstrations. Includes documentation coaching for objective, defensible notes, incident reporting, practical “do/don’t” examples, and quick EHR-friendly templates.
Trends, Risk & Action Planning
Trend & risk reporting that surfaces unit-level themes and hot spots, with prioritized actions to reduce avoidable pressure injuries and drive continuous improvement.
Deliverables you receive
Findings report with examples, corrections, and a policy alignment summary
Prioritized action plan (30/60/90-day), owners, and suggested metrics
Quick references (staging cues, dressing matrix, prevention checklist)
Competency checklists & attendance roster for in-services
How the engagement works
Intake & policy crosswalk: goals, current policies, formulary, and high-risk areas.
Sampling & observation: select records, review photos, and (as appropriate) observe workflow.
Audit & feedback: identify gaps, confirm best practices, and provide just-in-time coaching.
In-service sessions: focused training tailored to findings and your team’s schedule.
Deliverables & debrief: written report, action plan, and leadership briefing.
Note: RN services complement—not replace—medical care. We collaborate with your physician/NP/PA and follow provider orders and facility policies.
Contact Us
Contact us to schedule a Facility Wound Consulting & Documentation Review. We’ll align with your policies, reduce variation, and help your team document once—correctly.
Make an appointment
FAQs
If you have any additional questions or concerns not addressed in our FAQs, please don’t hesitate to contact us.