IV-line complication: the PICC/midline site now with new erythema, tenderness, and a palpable cord along the vein, with the infusion slowing — concerning for phlebitis/infection. The infusion held, the line assessed and discontinued per protocol, the site cared for, SBAR to the provider, and orders for new access and a possible culture received; the responsible party notified. Will reassess the site and the need to continue therapy; supports the Section O update. Skilled recognition of the line complication required — a daily SNF-level need.
Model abnormal 2
Drain complication / dislodgement: the surgical drain with a sudden change — dislodged/partially withdrawn with a change in output and site drainage — concerning for loss of the drainage system. Provider notified, the site assessed and secured, output and the site monitored, and orders received; the resident monitored for fluid collection or infection; supports the Section update. Skilled recognition and management required.
