Doctors are in charge of managing care of a decubitus ulcer once it develops. However, as a practical matter, the choice of therapies and approach to care is beyond the level of expertise of the attending physician so what often happens in practice is that the wound care makes recommendations for treatment orders which the attending doctor adopts. Therefore, the wound care nurse in practice manages the care of the decubitus ulcer once it appears.
This is important in cases where the care after the wound developed is at issue. Federal regulations require that once a wound develops, the resident receive care, treatment, and services necessary promote healing, prevent infection, and keep new wounds from occurring. Focus on the wound care nurses is crucial where that is at issue.