Ask Proactive – I struggle with identifying Moisture Associated Skin Damage (MASD) from some pressure injuries. How can MASD and pressure injury be differentiated?

by | Sep 3, 2025 | Nursing, Pain, Pressure Ulcers, Quality, Wound

Q: I struggle with identifying Moisture Associated Skin Damage (MASD) from some pressure injuries. How can MASD and pressure injury be differentiated?   A: Differentiating between Moisture Associated Skin Damage (MASD) and pressure injuries can be challenging,...

Ask Proactive – I’m a charge nurse, and a resident just passed away. The family is asking to take the medications home since they paid for them. What should I do?

by | Aug 20, 2025 | Compliance, Medication, Nursing, Pharmacy, Quality, Regulatory, Safety

Q: I’m a charge nurse, and a resident just passed away. The family is asking to take the medications home since they paid for them. What should I do?   A: This can be a difficult situation to navigate with grieving families. Even though the family may have...

Ask Proactive – A resident was admitted with a diagnosis of acute on chronic respiratory failure requiring a new tracheostomy. The trach was placed during the hospital stay and the resident continues to require suctioning, respiratory monitoring, and oxygen therapy here in the SNF. Would we use the respiratory failure or presence of tracheostomy as the primary diagnosis?

by | Jul 30, 2025 | Coding, ICD.10, MDS, Medicare, Nursing, SNF

Q: A resident was admitted with a diagnosis of acute on chronic respiratory failure requiring a new tracheostomy. The trach was placed during the hospital stay and the resident continues to require suctioning, respiratory monitoring, and oxygen therapy here in the...