N-ursing orders; e.g. skin care orders, ambulation, etc
 

Skin care; many facilities and home health care agencies do not have a dedicated wound care nurse. So it is wise to spell out wound care orders.  For pressure ulcers, be sure to list; wound care products, cleansing technique and frequency of dressing change, and position change. If specialized beds or protective equipment are needed, please list.  If you are unsure of what equipment is available at the next level, include an Occupational Therapist (OT) consult for pressure ulcer protection and risk reduction.  OT's have a valuable knowledge set about devices that can be utilized to protect patients from pressure injury. (mattresses, beds, wheel chair pads, heel supporting devices, etc.) For more on pressure ulcer care, see the Pearl card in this section entitled; pressure ulcer