Problem: Mrs. McGillicuddy is a 253-pound mother of 8, who is post-abdominal surgery. She is unable to use a bedpan, and with incontinence, inability to turn herself, and inadequate turning by staff, is beginning to have skin breakdown with drainage at the coccyx. The doctor orders a Foley catheter. The patient has some difficulty assuming the needed position, and you note the meatus has "migrated" from its original position and is now right at the mouth of the vagina. There is also a raised, patchy pink rash in the groin area and under Mrs. McGillicuddy's abdominal skin folds. You get a urine specimen from the 250 ml of cloudy, foul-smelling urine with a small amount of flaky orange sediment that has flowed out since the catheter was inserted and send it to the lab. Please document below. (What needs to be documented? What needs to be reported to the doctor?)