AM-PAC
What does AM-PAC stand for?
Activity and Mobility in Post-Acute Care.
What time should you document HLM?
5 AM/PM
HLM scale ranges from ___?
2-8
forget about 1
Who can document HLM?
BOTH RN and PCT
HLM 3=?
Sat at edge of bed
When should AM-PAC be documented?
At the start of shift, BEFORE 10AM/PM
Reassess at any time, especially if the patient had any changes that would affect their mobility.
Why? To determine a goal for the patient.
What does HLM stand for?
Highest Level of Mobility.
When is the best time to communicate a patients mobility goal?
DURING REPORT!
- BSR
- While giving report to your tech
Who can document AM-PAC?
ONLY RN
HLM 6=?
10+ steps
-walk around the bed
-move the BSC to the foot of the bed.
How do you complete the AM-PAC assessment if the patient refuses to get OOB?
Based on NURSING JUDGEMENT.
Assess how they:
-turn side to side
-assess strength in extremities
Where do you document mobility on your patient?
In the flowsheet under Daily Care and Safety.
When completing AM-PAC- do assistive devices count as 'help'?
NO.
Who can update the BVGD?
PCT/RN. Make sure to communicate with one another!
You obtained a standing weight on your patient. What should you document HLM?
HLM=5
Your patient can independently transfer from the bed to chair but requires verbal cues and supervision (high fall risk). What would you document the level of assistance needed for 'moving from bed to chair' question regarding AM-PAC?
3. A little assistance because they require SUPERVISION and VERBAL CUES.
Your patient went to the bathroom at 0900 then stayed in bed for the remainder of your shift. What HLM would you document at the end of your shift?
7.
If your patient requires 2+ assistive personal to turn in bed, what would you document the 'level of assistance'?
Hint: 1-4
1. Total
Do you have to wait for PT/OT to consult the patient before mobilizing?
NO.
ON MED B, if your patient walks to the bathroom and back to bed. HLM=?
7! ONLY ON MED B
BATHROOM= 7
AM-PAC consists of 6 questions. Answer each question based on the amount of assistance the patient needs using the scale of 1-4. What does 1, 2, 3, and 4 stand for when using AM-PAC?
1. Total
2. A lot
3. A little
4. Independent
NO ONE SHOULD EVER BE A 1.
If you turn your patient q4, obtain VS, etc.
HLM=2.
Your patient is walking in the hallway with PT, can you document an HLM of 8?
NO. ONLY DOCUMENT WHAT MED B STAFF OR FAMILY DID WITH THE PATIENT. NOT PT/OT
WHAT should be displayed on BVGD?
You find your confused patient wandering the hallways... YIKES. What would you document HLM?
8!!! YAY but where was the BED ALARM?!!!