SOC nonobservable Pressure injury
At SOC have a dressing on pressure ulcer so the oasis is marked as unstageable, however in the H & P it is staged as a stage 2. SN observed the wound 2 days later and confirms stage 2 (but not the same assessing SN). Do you could it as an unstageabe?
Comments
The guidance states:
The general standard of practice for patients starting or resuming care is that patient assessments are completed beginning as close to the actual time of SOC/ROC as possible. If a pressure ulcer that is identified on the SOC date increases in numerical stage (worsens)within the assessment time frame, the initial stage of the ulcer would be reported in M1311 at the SOC.