These important questions will help you assess your clinical processes and make improvements,said Chicago-based regulatory consultant Do you use reporting parameters in plans of care? Are you assessing the need for vaccinations? Are you assessing pain using a standardized tool? Are you insuring that pain interventions are in place? Are you assessing risk for pressure ulcer development? Are you taking appropriate steps to prevent development of pressure ulcers? Are you ensuring that moisture retentive dressings are ordered by your physicians to treat pressure ulcers? Are you assessing and securing orders for skin lesions and wounds that are not pressure ulcers, stasis ulcers,surgical wounds, or bowel ostomies? Are you including monitoring the feet of diabetic patients and providing patient education in your care plan? Did you follow the diabetic foot care plan in your plan of care? Do you assess patients' cardiac status and include steps to follow up on heart failure in your plan of care? Do you screen patients for depression using a standardized screening tool? Does your care plan include interventions for depression and is it implemented? Are you assessing each patient using a multifactor assessment? Does your plan of care include fall prevention interventions and are they implemented? Are you assessing patients' drug regimens for adverse effects and reactions? Did you address the results of your drug regimen assessment with the physician, including new issues that arise during the course of care? Are you providing patient and caregiver education on the high-risk medications the patient is taking?