6 Point Scale
Resident completes the activity by themselves with no assistance from a helper.
06. Independent
CNA attempts to change resident and the resident refuses to complete the activity
07. Patient Refused
CNA gets the reacher that a patient needs for lower body dressing and the patient does not need any other assistance for lower body dressing, how would you code?
5 – Setup / cleanup assist
Resident bedfast and long-term. He has not gone out since admission and has not been in a car in years.
CAR TRANSFER: Not Applicable
Resident has an Ostomy or Catheter
Not Rated
CNA sets up or cleans up; patient completes the activity. Helper assists only prior to or following the activity.
05. Setup or clean-up assistance
Resident did not attempt this activity due to environmental limitations
10. Not attempted due to environmental limitations
Resident has been unable to eat or drink by mouth since he had a CVA one week ago. He receives nutrition and fluids through a G-Tube. How would you code eating?
NOT ATTEMPTED due to medical conditions or safety concerns
POC: Sit to Stand
Resident is ventilator dependent, mechanical lift transfer or otherwise is bedfast.
Code: Not Applicable
The resident had no episode the entire shift
Did Not Void
CNA does MORE THAN HALF the effort. CNA lifts or holds trunk or limbs and provides more than half the effort.
02. Substantial/maximal assistance
Resident didn't attempt to perform the activity and did not perform this activity prior to the current illness, exacerbation, or injury
09. Not Applicable
Resident requires the physical assistance more than half of the CNA to transfer with a wheelchair to bed. How would you code this?
SUBSTANTIAL/MAX ASST: CNA does MORE THAN HALF the effort
CNA provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity.
SUPERVISION OR TOUCH: verbal cues &or touching/steadying or contact guard
The resident had ask for assistance to go to the restroom and has no incontinent episode this shift.
Continent
CNA does LESS THAN HALF the effort. CNA lifts holds or supports trunk or limbs, but provides less than half the effort.
03. Partial/moderate assistance
The activity was not attempted due to medical condition or safety.
88. Not attempted due to medical condition or safety
Mr. L had bilateral amputations he uses a wheelchair and does not walk. How would you code for walking 10 feet?
09 – Not applicable
Incontinence of any amount of urine sufficient to dampen undergarments, briefs, or pads during daytime or nighttime.
Incontinent
CNA does ALL of the effort. Resident does none of the effort to complete the activity.
DEPENDENT: CNA does ALL of the effort