.GEN_PROTECT

Perineal/genital skin (incontinent/dependent): {intact/erythema/denudement}, moisture-barrier/containment {in place}, cleansing {prompt}, offloading/repositioning per plan. High breakdown risk. Skilled perineal skin management required. Supports Section M; goal {###}. (Skin reference.)

.GEN_WOUND

Perineal/sacral wound: cleansed/dressed per order, characteristics {size/drainage vs prior}, periwound {protected}, containment {managed}, infection signs {none}. Skilled complex wound care. Supports Section M. (Skin staging.)

.GEN_FOURNIER

Fournier concern: perineal/genital {spreading erythema/dusky-black/crepitus/pain out of proportion/odor}, systemic ({fever/HR/confusion}). Provider notified urgently; sepsis pathway; emergency transfer; representative notified; serial vitals. Life-threatening. Supports Section M/I. (Sepsis overlay.)