We had a resident admitted one evening and transferred out next am to hospital where she died. Now I have only two codes on my care tracker and I need at least 3 to code any one thing. What I have is lots of totals. My inclination is to code it as 4s and 3s even if I only have one or two although the tracker is averaging these as zeros-independent. She was definitely not independent but I know the three time rule. Do I make an exception in the unusual circumstances?
 
2nd question while I have your attention. I have times when I have a resident that I think I may want to skill if therapy cannot pick them up after a 3 day stay. One man had 5 stage 2 decubiti. I know that could skill him. The problem is our wound policy states to change the dressings every 3 days. I know we are monitoring dressings and circulation and drainage and checking albumin levels and administering nutritional supplements for wound healing and etc q day. Is this enough to skill even though we are not changing the dressings? Thank you for your time. Becky

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