N2

Low risk, skin healthy

Skilled skin assessment completed. The skin is intact and healthy with appropriate color, temperature, and moisture and adequate turgor; the pressure points are intact with a blanchable response, and there is no moisture damage or rash. The Braden score is 20, indicating low risk. No existing wound. Findings indicate healthy skin at low risk. RN-level assessment was required to inspect the skin, score pressure-injury risk, and screen for early breakdown given the diagnosis. Skin protection and the early-recognition warning signs reinforced; teach-back accurate. Continued skilled monitoring indicated.

N3

At-risk skin protected, erythema resolving

Skilled skin assessment completed for a high-risk patient. A previously noted blanchable area over the sacrum has resolved with offloading, the skin remains intact, and there is no non-blanchable erythema; the Braden score remains in the high-risk range, and the prevention program — repositioning, a redistribution surface, and barrier care — is in place and effective. Findings indicate at-risk skin kept intact with prevention. RN-level assessment was required to re-inspect, re-score risk, and confirm prevention is preventing breakdown. Repositioning and offloading reinforced; return demonstration accurate. Continued skilled monitoring indicated.

N4

Moisture managed, dermatitis resolved

Skilled skin assessment completed after treatment of moisture-associated dermatitis. The previously affected area has healed with the barrier and incontinence-care regimen, the skin is intact, and there is no new moisture damage. Findings reflect resolution of the moisture-associated damage with the regimen. RN-level assessment was required to confirm healing against the prior dermatitis and verify the moisture-management regimen. The barrier regimen and incontinence care reinforced; return demonstration accurate. Continued skilled monitoring indicated.

N5

Fragile skin protected, no tears

Skilled skin assessment completed for an older adult with fragile skin. The skin is intact with no new skin tears; xerosis is managed with moisturizing, and protective measures — padding and careful handling — are in place. The Braden score reflects the friction-and-shear risk, addressed in the plan. Findings indicate fragile skin protected and intact. RN-level assessment was required to assess skin fragility, screen for tears, and verify protection. Skin-tear prevention and moisturizing reinforced with the caregiver; return demonstration accurate. Continued skilled monitoring indicated.

N6

Interval skin check, intact

Skilled skin assessment completed at the scheduled interval visit. The skin remains intact on full inspection including the pressure points, the Braden score is unchanged, and the prevention program remains in place and effective; no new moisture damage, rash, or breakdown. Findings stable. RN-level assessment was required to re-inspect the skin, re-score risk, and verify prevention given the diagnosis. Prevention and early-recognition reinforced; teach-back accurate. Continued skilled monitoring indicated.