.SKN_NORMAL

Skilled skin assessment: skin intact, appropriate color/temp/moisture; full inspection incl. sacrum/heels — no pressure injury, no non-blanchable erythema; no moisture damage or concerning rash; Braden {score} ({risk}); [prevention in place]; no existing wound. RN judgment applied to score PI risk and institute prevention given {dx}. Continued skilled monitoring indicated.

.SKN_INSPECT

Color {...}; temperature {...}; moisture {...}; integrity {intact/breaks/tears}; pressure points {sacrum/heels} {intact/blanchable/non-blanchable}; moisture damage {y/n}; lesions {location/size/type}.

.SKN_BRADEN

Braden total {score} ({risk}); subscales — sensory {#}, moisture {#}, activity {#}, mobility {#}, nutrition {#}, friction/shear {#}; drivers {...}.

.SKN_PREVENT

Repositioning {q2h}; surface {redistribution}; heel offloading {y}; skin protection {moisturizer/barrier}; incontinence care {regimen}; nutrition coordinated.

.SKN_SKILL

Full skin inspection; scored Braden; classified erythema {blanchable/non-blanchable}; instituted prevention; managed moisture; {routed existing wound to Wounds}; coordinated {surface/nutrition/referral}.

.SKN_TEACH

Reviewed repositioning, offloading, skin protection, {moisture management} with {pt/cg}; method {teach-back/return-demo}; mastery {##}%.

.SKN_COORD

Provider notified at {time} re {new PI/DTI/infection/rash}; reported {content}; order received {surface/repositioning/wound referral}; reassessment {when}.

.SKN_NECESSITY

Skilled nursing required today to {action} for {RN-level reason} given {dx}, resulting in {measurable effect}.