Part AThink about your specific practice context. Based on your new knowledge about evidence-based practice, choose a unitary procedure in your workplace and explore whether it is based on research evidence or not. Discuss what you think would be needed to bring the procedure more in line with best practice in the area or what has been done to ensure it is based on best practice. At Fremont-Rideout the big problem was pressure ulcers, every month all patients in the hospital had to be evaluated for them. Anything that was stage 3 or higher had to be reported to AHS. According to Chaves, Grypdonck, and Defloor (2010, p. 563), evidence-based protocols are organization-specific and are used to help improve patient outcomes. In 2009, the Wound Ostomy Continence Nurses Society (WOCN) established a basic guideline that organizations can use to prevent and treat pressure ulcers. Therefore, in this case the evidence-based practices are; evaluate risk factors (use of the Braden scale); evaluate bony prominences for possible skin lesions; evaluate appearance and changes in skin color; stage and description of the ulcer; measure and document the ulcer; reposition the patient every 2 hours; remove dressing once per shift to evaluate skin; and accurately document the progression of wound healing. The best thing to do is to make sure you evaluate each person's skin at every shift to make sure they don't have an ulcer and use the Braden scale. For the person who has an ulcer, be sure to remove bandages and check with preventative assessments to see if the ulcer is healing. If the ulcer does not heal, it is necessary to notify the doctor and re-evaluate the patient regarding the appropriate treatment, so that... middle of the paper... my point of view. I solicit information and ideas by asking open-ended questions; many times I forget to ask open-ended questions, as that can help get more information. It also makes the person feel like you are including them. Even though I possess many of these skills, there is always room for improvement, especially since there are several challenges that arise on a daily basis. I don't think anyone is ever done learning. References Chaves, L.M., Grypdonck, M.H., & Defloor, T. (2010, March). Pressure ulcer prevention protocols: are they evidence-based? Journal of Advanced Nursing, 66(3), 562-572. doi: 10.1111/j.1365-2648.2009.05227.x.Wound, Ostomy, and Continence Nurses Society. (2009). Wound Ostomy Continence Nurses Society guidance on OASIS-C integumentary articles. Retrieved from http://www.wocn.org/pdfs/GuidanceOASIS-C.pdf