Sounds elementary, but sometimes we have residents in long term care that will need a band aid and a nurse will put one on and not write an order. This happens a lot. I think they need to be writing orders, but they don't. We had a resident come in the other day who had an appx 1/2 cm open area to back of calf and a nurse put a band aid on it. I didn't find out for a few days when it became a blister. The lady is on coumadin. The open area turned into a bruise, then blister filled with serous fluid. Now, there is brown crust on top that is either a scab or eschar. It is very difficult to determine at this point. We called in a wound specialist, surgeon. Our DON is acting as if it was no big deal; we didn't need to write an order to put a band aid on it at first. Nothing has come on it, but one day it might. What is your opinion? There is an order to for wet to dry until wound specialist can come.
Thanks in advance.