Good Samaritan - Algona

on a fax sent out to ensure a response was received. On [DATE] at 2:33 PM, Staff B, LPN reported on [DATE], Resident #2 complained that her [NAME] hose was bothering her left ankle.

She said her thoughts were to put padding on the area for protection.

She said she applied the Mepilex dressing and thought she would follow up on it the next day.

She said once she applied the Mepilex dressing and put the [NAME] hose back on, Resident #2 reported it felt better.

Staff B reported the left ankle bone was slightly red but not open.

She said she did not document that she had put the Mepilex on the ankle in the clinical record as it was later in the day.

When asked if she should have documented it, she said more than likely.

She said she passed it on to the night nurse.

When asked if Mepilex dressing was a treatment that could be initiated without a Dr's order, she said no.

Staff B said she should have padded the area with something different or notified the physician to obtain an order.

She said she could have left the [NAME] hose off since it was later in the day.

She reported she did not have any concerns with cellulitis when she looked at the left ankle.

Staff B reported she worked on [DATE] and was aware that a fax was sent out on 10/7 regarding wound nurse recommendations.

She said she did not see the fax come back.

She said they usually give the clinic a day or two to respond.

She said she did not call or follow up with the clinic regarding the fax.

She said the faxes that go out are put on the nurses clipboard while waiting for a response.

She said as the faxes come back they get rid of the fax on the clipboard.

Staff B reported she did not know if the fax was on the clipboard or not.

She said she was not the one who sent the fax out.

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