This document discusses challenges with the current process for preventing and treating hospital-acquired pressure ulcers (HAPUs) on a unit. It notes that HAPU rates have risen significantly and describes the current role of the Wound and Skin Care Nurse (WSCN) who visits from Monday to Friday 8am-5pm. Issues include patients at risk not being seen by the WSCN if they are not on the computer-generated list, and direct care nurses being unfamiliar with caring for patients with skin breakdown when the WSCN is unavailable. The document requests information on best practices for HAPU prevention and treatment, including nurse-driven care versus WSCN-provided care.