1. Hermosa Beach, California. Photo by Christoph. Christoph EFFECTIVE COMMUNICATION IS EVERYTHING

2. YOU MIGHT THINK YOU KNOW WHAT YOU MEAN BUT DOES EVERYONE MEAN THE SAME THING?

3. But Seriously Folks, Accurate documentation is critical in placing yourself/institution in best possible position to defend care provided. Pressure ulcer Litigation rising Alabama 1993: $65 Million Missouri 1996: $ 2.3 M Texas 1997: $ 83M, $92 M

4. ??? WHO ??? Licensed personnel are responsible for patient assessment. Only pressure ulcers are staged, otherwise ulcers are categorized as partial or full thickness wounds. Don’t stage chemical irritation from diarrhea, road rash, venous leg ulcers or skin tears.

5. 2/17/2016 At this point let’s get interactive! Please sit on your non-writing hand

7. VSU

9. (note hemosiderin staining)

10. Candidiasis