Clinical problem Prior the implementation of a skin and wound care program, a medical-surgical unit in a 413 bed acute care teaching hospital recorded a prevalence and incidence rate of 35% for pressure ulcers on a 34 bed med/surg unit of the hospital. The program has demonstrated a significant decrease and sustained low rate of hospital-acquired pressure ulcers which has now empowered the hospital to implement the program on all units - hospital wide. Current clinical approach A SWAT(skin wound assessment treatment) team was developed on each unit – hospital wide. Each team received extensive education and training on skin and wound care including protocols, video, in-service, posters and other educational tools. All staff was provided with the same educational tools in order to achieve a consistent approach of care throughout the hospital. Results A stronger consistency of documentation in patient medical records has been directly associated with a decrease of litigations which have saved thousands of dollars in legal expenses. The hospital-wide incidence and prevalence rate has now reached a below-average percentage. Empowerment through education has shown a 98% employee satisfaction from a survey led earlier this year. Conclusion The positive outcomes from the implementation of a skin and wound program have increased the awareness within the community on quality of care provided to our patients. Healthcare practitioners from other county institutions are now consulting the hospital for the development of the same program with a goal to achieve a continuum of care within the community.