Reasons for Sig. Changes

[Sgibbsrn]

Hello All,      I have a question to pose to the group.  It may sound silly, but I have always been under the impression that if you have a resident with a significant weight loss, you do a Sig. Change.  Also, for new stage 3 or 4 pressure area or  a new restraint.    I thought all of these should stand alone for a Sig. Change.  Here at work recently, some people have really been questioning and trying to get out of doing the changes.  I would rather have the Sig. Changes than try to explain why I didn't do one to the surveyors.  On our recent annual survey we had done a Sig. Change on a lady, then three months later she got a lap buddy restraint.  Surveyors cited us for not doing another change.  Sorta slipped through the cracks.   All info and opinions would be greatly appreciated. You all are a great resource.   Susan Gibbs, RN MDS Coordinator Presbyterian Homes of TN