Skin intact over all bony prominences, Braden 16, repositioning q2h and support surface per plan, heels floated, continence care timely — RN surveillance confirms no new injury; supports Section M and the skin goal.
Healing on track
Stage 3 sacral wound, sterile dressing change: bed 75% granulation (up from 60%), scant serous exudate, periwound intact, 3.0 × 2.2 × 0.3 cm (down from 3.4 × 2.6 × 0.4). Skilled procedure and trajectory assessment required; supports Section M healing.
Stalled wound reassessed
Stage 3 wound unchanged over two weeks despite the plan — provider notified, treatment escalated (advanced dressing), nutrition and offloading re-evaluated. RN judgment required to change the plan; care plan revised.
