Verbal cueing alone should be scored as this level of assistance.
What is 3, a little assistance
Examples of tasks that the nurse and/or the patient can complete to reach a goal of a 3 include:
What are: Auscultating lungs, assessing wound sites, assessing skin, brushing teeth/ADLS, eating meals, giving meds, changing linen
The target percentage for a √ + for the bucket of JH-HLM of 7-8
What is greater than or equal to 85%?
JH-HLM performed is documented this amount of times every 24 hours?
What is twice, and as needed with patient changes?
Three assistive devices that can be used for walking include:
What are walkers, canes, and crutches?
The use of a walker/assistive device (all EXCEPT a dependent lift) would count as this level of assistance:
What is 4, no assistance
A patient needs to stand for this amount of time to achieve a JH-HLM 5
What is 1 minute?
The target percentage for a √ + for the bucket of JH-HLM of 6
What is greater than or equal to 85%?
A nurse or patient care tech can NOT document a JH-HLM performed from what sessions?
What is a physical therapy session? (Unless the nurse or tech actively assisted with the session)
A device that can assist with bed mobility / positioning includes:
What are mechanical dependent lifts, airpal, pink slip?
A patient who is very deconditioned but able to move their extremities would score this level of assistance
What is 2, a lot of assistance?
Using a dependent lift to get a patient to the chair counts as what JH-HLM performed?
What is a JH-HLM 2?
The target percentage for a √ + for the bucket of JH-HLM of 3-5
What is greater than or equal to 75%?
What tab in the EHR (besides notes) can you view PT/OT recommendations?
What is the Multidisciplinary POC tab in the summary section of the patient chart?
Two bed features that can be used to help mobilize a patient in bed include:
What are raising the head of the height, raising the height of the bed, and Trendelenburg position?