I was asked to do the same thing. Help initiate a wound care prevention and management program. Fortunately I have an absolutely wonderful Wound Care Specialist who does weekly rounds at my facility and is availible by phone at all times. I started with the orders, our were a hot mess! One person referred to a wound as an open area, one a stage 4, another an abrasion. I walked in to each room not knowing what it was I would find. So I clarified all the wound classifications, made sure the treatment order was appropriate, referred to the RD for dietary consult, referred to PT to see if they required a specialty cushion/brace/PRAFO boot/shoe/etc. Than set up interventions to prevent future skin breakdown such as lotion to applied daily, gerisleeves, long sleeve shirts, moisturizing body wash, bath oil, heelzup, positioning devices, specialty mattress, gerichair pads, strict turning/repositioning policy, every single aide on every shift is responsible for completing a skin sheet for each resident they were assigned. Gave inservices on proper transferring, body alignments, pericare, etc. I'm not done yet as I'm only 2 months in to developing the program and I know we could do more. I'd love to hear tips on what other facilities do to prevent skin breakdown. Any tips?