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Bathing, Dressing, Grooming
Eating
Toileting/Continence (2-3 part answers)
Mobility
Other
100
I set up Mr. Blue for morning care. I leave and come back and he has completed his bathing, dressing and grooming thoroughly. When completing my flow sheets this is the code I will use.
What is independent for bathing, dressing and grooming?
100
Mrs. Rose has a feeding tube and does not eat by mouth. How would I code eating on the flow sheet?
What is tube feeding?
100
Mr. Shell is always clean and dry and goes to the bathroom himself all the time. I code the flowsheet this way.
What is Independent toileting and continent bowel and bladder?
100
Mr. Mercedes can propel his wheelchair around but needs me to help him around the furniture in his room. I would code the flowsheet this way.
What is Wheelchair Assist?
100
I boost Mr. T and position him on his right side in bed with my coworker, he was not able to help. I would code the flowsheet for what level of care in this/these area(s).
What is Bed mobility dependent of 2 and positioning R/2?
200
Mrs. Yellow cannot help in any part of her care. I give her a facecloth but she doesn't do a good job when she tries to help and I need to do it over. I would code this on my flow sheet.
What is dependent for bathing?
200
Mr. Daisy cannot feed himself any part of the meal. I feed him and code this on the flow sheet.
What is Dependent?
200
Ms. Waters cannot do anything for herself and I need to check and change her on rounds. I hoyer her into bed and do all of the cleaning/brief changing since she was wet and soiled. I code my flowsheet this way.
What is dependent toileting and incontinent bladder and bowel?
200
Ms. Lexus walks around on the unit but needs help to get to destinations. I hold her hand to guide her in the right direction for lunch. I code the flowsheet this way.
What is Limited Assist Ambulation?
200
Ms. D walked into another resident's room and is going through her drawers. I call her out of the room, she comes with me and I point her in the direction of the activity room which she walks to. I would code this in this/these areas on the flow sheet.
What is continual supervision ambulation and socially disruptive/wandering behavior with redirection and positive outcome?
300
Mrs. White can do her mouthcare after setup, can comb the front of her hair and I need to comb the back of her hair. I would code this how on what category the flow sheets?
What is extensive assist for grooming?
300
I bring the breakfast tray into Ms. Dahlia and she is not really interested in it. I set her up and feed her the first bite then she becomes interested in eating and feeds herself the rest of the meal. I code this on the flowsheet.
What is Extensive Assist?
300
Mrs. Seashell is calling out to go to the toilet. I wheel her chair there and get her onto the toilet. Her brief is wet, she also urinates and has a bowel movement in the toilet. I help clean and redress her and help her to exit the bathroom. I code the flow sheet this way.
What is Extensive Assist Toileting, Incontinent Bladder and Continent Bowel?
300
Mrs. Maserati wheels around inside the building by herself, she cannot go outside for smoking without staff supervising her wheelchair mobility during this time. I would code the flowsheet this way.
What is Wheelchair Continual Supervision?
300
Mrs. C is in a wheelchair and does not move once I help her sit in it. Every 2 hours I need to do something to reposition her. After lunch I toileted her and sat her back in the wheelchair. Coding in positioning would look like this.
What is W/1?
400
Mrs. Violet is getting dressed. I help her guide her arm through the sleeve of her clothes and she can do the rest. I would code this level in what category on the flow sheets.
What is Limited Assist for dressing?
400
Mr. Fern, Mr. Hosta and Mrs. Petunia are eating in the dining room. I need to watch them during the meal since they are at risk to choke and need some cueing during the meal. I would code this on their flowsheets.
What is Continual Supervision?
400
Mr. Buoy uses a condom catheter. I need to apply it and empty the bag each shift. He is also incontinent of bowel and cannot participate in any toileting activity. I would code the flowsheet this way.
What is Dependent for toileting and incontinent of bladder and bowel?
400
Mr. Ferrari uses an electric wheelchair without a problem throughout the facility and is on an ambulation program. Two staff help walk him 30 feet and support his weight during this activity. The flow sheet would be coded this way.
What is wheelchair independent and Extensive Assist, 2 assist Ambulation?
400
I position Mrs. K in bed with another CNA all the time. She can help a little by holding the siderail. Bed mobility would be coded this way.
What is Extensive Assist of 2?
500
Mrs. Green can do a lot to get dressed, but needs help fastening her bra and doing the zippers and buttons on her clothes. I did this for her. How would I code the flow sheet for this care?
What is Extensive Assist for Dressing?
500
I am helping Mrs. Pansy eat supper. She has a hard time with the coffee. I help guide her hand to get the cup to her mouth. I code the flow sheet this way.
What is Limited Assist?
500
Mrs. Beach went into the bathroom and called for help when she was done urinating. I helped her pull up her pants and she washed her hands and was all set. I would code the flow sheet this way.
What is Extensive Assist Toileting and Dressing and Continent Bladder?
500
Mrs. Jeep does not leave her room. She walks from the bed to the chair and back to bed only. I help her walk with a gait belt and support her weight. The flow sheet would be coded this way.
What is Extensive Assist Ambulation, one assist?
500
Mr. Z transferred himself onto the bed while I watched to make sure he was safe. I lifted his legs into the bed and he rolled onto his left side. I would code the ADL flow sheet this way in this/these areas.
What is transfer continual supervision, bed mobility extensive assist of 1.