When you discover a new wound or skin breakdown, what should you do?

• A. Report promptly to the nurse and document location, size, and description; do not attempt to treat.
• B. Treat the wound with over-the-counter ointment.
• C. Wait and see if it worsens before telling anyone.
• D. Disconnect from patient and leave.

Answer: (C)

Noticing a new wound or skin breakdown means there’s a potential change in the patient’s condition that needs professional assessment right away. The correct approach is to report this to the supervising nurse promptly and document all details you observe. This ensures the wound is evaluated by someone with the authority to order appropriate care and prevents delays that could allow the issue to worsen.

Do not try to treat the wound yourself. Applying OTC ointments or other home remedies without a clinician’s order can mask problems, cause irritation or allergic reactions, or interfere with proper healing. Waiting to see if it gets worse also risks infection, deeper tissue damage, or progression of a pressure injury.

After reporting, document what you observed: exact location, size (length and width, and depth if possible), appearance of the wound and edges, type and amount of drainage, any odor, and the condition of the surrounding skin. Note the time and to whom you reported. Then follow the nurse’s instructions and continue to monitor and protect the area as directed, keeping the skin clean and dry and avoiding further irritation.

In short, prompt reporting and precise documentation, with no independent treatment, is the safe and appropriate action.