Abstract
Our hospital is a level one trauma center performing over 100 surgeries daily. With the advent of Centers for Medicare and Medicaid state that stage three and four skin breakdowns not present on admission will no longer be reimbursed, the Perianesthesia Care Unit took a proactive stance at skin integrity issues. Recognizing opportunity to improve our practice in reporting, documenting and informing to divisions regarding skin related concerns, our division developed a proactive process of tracking and communicating with in-patient divisions.
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