Post-operative wound complication: the surgical incision now with increasing erythema extending beyond the margins, warmth, purulent drainage, and a low-grade fever — concerning for a surgical-site infection. Provider notified with the wound findings, a wound culture and possible antibiotics ordered, the dressing regimen changed per order, the limb and systemic signs reassessed, and the care plan revised; supports the Section I/N update. Skilled recognition and assessment required — a daily SNF-level need.
Model abnormal 2
Neurovascular/VTE concern: new unilateral calf swelling, warmth, and tenderness in the operative leg with calf pain on movement — concerning for a deep-vein thrombosis. Provider notified, the limb assessed and measured, activity and the prophylaxis order reviewed, a Doppler study ordered, and the resident monitored for embolic signs; will reassess. Skilled surveillance required, as post-operative VTE is a time-critical complication. (Anticoagulation management routes to the Anticoagulation overlay.)
