I am a surgical floor nurse visiting you all with a question about how skin assessments are done in the ED. The hospital where I work has initiated a protocol that a head to toe skin assessment should be done on all admits at point of entry (the ED) before being admitted to their respective unit. Here is the kicker: we are to report any patient who arrives without an assessment done and also if skin alterations are found to exist but were not noted or measured. We were ignoring this and doing our own regular admission assessment until they began to do chart audits of why we're failing to report 'missing documentation'.
Can anyone give me some insight about how your assessment/charting works in the ED? I imagine that it depends on the patient's complaint, the happenings at the time, and what took priority, but are skin assessments even routinely done? Not that it matters, but our ED admits are nearly entirely GI complaints, (obstructions, appys, gallstones; no active bleeders.)
Pardon my ignorance, but I work the floor and really don't know! I appreciate anything you all can tell me about what's it's like for you. Relations already tend to be poor between the ED and the floor and this is only making things worse.