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ST DAVID'S SOUTH AUSTIN MEDICAL CENTER
RN SUPERVISION OF NURSING CARE
Tag No.: A0395
Based on review of the clinical record and interview with staff, it was determined that the nursing care and nursing staff assignments were not appropriate to meet the patients needs:
Findings were:
On admission on 1-14-2010, patient's skin was documented as having no breakdown. On 1-26-2010, nursing progress notes documented there was a potential for Stage 2 pressure ulcer. On 1-27-2010, the wound care nurse was asked to see the patient regarding a sacral ulcer, which measures 3 cm x 1.5 cm, covered with yellow slough. Nursing provided care for the pressure ulcer until the patient was discharged to the nursing home.
Interview with the Chief Nursing Officer and Quality Manager confirmed the above findings on 5-23-2011 in the conference room.