Overland Park Post Acute

Wednesday, Friday, and as needed (PRN).

She stated she received a paper from the wound care

confirmed from the Physician Orders Details on 01/28/26 that R1's dressing changes should be daily

not get updated.

She said the floor nurses put the orders in, and she normally went through the orders to verify them. On 02/24/26 at 02:41 PM, Administrative Nurse D stated when a resident returned from an appointment, the floor nurse put the new orders in.

She stated the administrative team went over appointments in clinical, but the facility will be adding a second check on orders.

She confirmed from the Physician Orders Details on 01/28/26, that R1's dressing changes should be daily except on days that R1 went to the wound care clinic.

She stated if the wound care provider ordered compression pumps, the facility found out about it through the wound care notes like the Physician Orders Details.

Administrative Nurse D stated she believed the wound care provider contacted the DME company about the compression pumps who then contacted Administrative Nurse E to set up the training.

She stated the facility should have followed up with the wound care provider if they wanted the pumps started in December 2025.

The facility's Wound Care policy, revised October 2010, directed in preparation for wound care, the facility they had a physician's order for the procedure.

The facility's Medication and Treatment Orders policy, revised July 2016, directed the facility administered medications only upon the written order of a person duly licensed and authorized to prescribe such medications.

The policy did not address order transcription after appointments.