Bed Mobility
You went to Mrs. Gordon's room to help her position in bed. You went in, woke her and provided her a cue to turn to her side. How do you code this?
What is Supervision / 1 assist
If a resident hangs on to any part of the Hoyer lift during the transfer, How do you code assist?
Total dependent 2 assist
Mrs. E. requires you to pull down her pants and lower her onto the toilet. Once she is finished, she is able to wipe, stand up with the help of her walker, and adjust her clothing. How do you code this?
What is Extensive 1 assist
Mrs. G's care plan say she needs assist with food placement on her plate, cutting meat and cues to guide her to her utensils throughout the meal. How is this coded for the ADL of eating?
What is supervision of 1
If you are using a gait belt with a resident that is walking, but don't have to bear any of their weight, how do you code walking?
What is limited / 1 assist
After reviewing the care plan you another CNA enter Mr. M's room. He has slid down in his bed and needs repositioned. He is able to assist by bending his knees and pushing his legs. You and the other CNA need to physically pull him up in bed. How would you code this?
What is extensive assist / 2 Assist
Mr. A. has Parkinson's and needs weight-bearing assist of 2 to transfer using the sit/stand lift. You and another staff transferred Mr. A. from his bed to his wheelchair using the sit/stand lift. He was able to hold on to the hand grips during the transfer. What is the appropriate coding for transfers?
What is extensive assist of 2
During your shift, Mr. Stone needed toileting assist to zip his pants and handing him a washcloth to wash his hands. How do you code toileting?
What is limited assist of 1
At breakfast, you sat with Mr. B. and lifted his right arm to his mouth each time he took a bite. What should you code for the ADL of eating?
What is extensive assist of 1
Forgetting to document that 2 person assist was given with an ADL can cost our facility up to $100 per day. True or False
What is True
A resident needs to sit up in bed. You put your hand on her back and help push her into a seated position. When she lays back down she is able to roll side to side on her own. How do code her bed mobility?
What is extensive assist / 1 assist
Mrs. D. has right sided weakness due to her recent stroke and needs assist of 2 staff to transfer using the Hoyer lift. You and another staff transferred Mrs. D. from her bed to her wheelchair using the Hoyer lift. What is the appropriate coding for transfers?
What is Total dependence of 2
Mrs. R. has a right ankle fracture and is NWB. During your shift you took her to the bathroom, physically transferred her from the wheelchair to toilet and then back from the toilet to the wheelchair. She was able to do her peri care, wash her hands and adjust her clothing herself. How do you code toileting?
What is extensive assist of 1
It is lunch time and you bring Mr. M his tray and provide him no other assistance during the meal. When you document the ADL of eating, you document supervision with set up. Is this the correct documentation? Yes or No
What is NO. (Independent with no set up)
If a resident is "easy" it is appropriate to code them as limited for all ADLs. True or False
What is False
Mrs. C is on hospice and is at the end of her life. She is unable to assist with any of her adls. Her care plan indicates to physically turn her in bed approx. every 2 hours. You and the nurse go to her room and the 2 of you physically turn her to her right side. How do you code bed mobility?
What is total dependence / 2 assist
As a CNA, you are working the overnight shift. Mrs. C. slept all night and did not need to get out of bed for any reason. What is the appropriate coding for transfers that you would document?
What is Activity did not occur
Mrs. T. is always incontinent of bowel and bladder and does not get out of bed. She does not help with changing her brief or cleaning her, but she does help roll side to side while being cleaned. How do you code toileting?
What is Total of 1
Mrs. R. has a g-tube and takes nothing by mouth. What do you document for eating?
What is Activity did not occur / nurses document intake of feeding
It is extremely important to document ADLs every single time I help a resident. True or False
What is True
Mr. K. prefers to sleep in his recliner at night. During your shift, he asked you to remove the pillows from under his feet which required you to lift both legs up to remove the pillows. He is able to lean forward so you can place a pillow behind his back. How do you code this for bed mobility?
What is extensive assist/ 1 assist
During your shift, Mrs. J. transferred from her bed to her wheelchair. She needed you to bring the wheelchair next to the bed and remind her to hold on to the chair and for her to position her body slowly. You only provided this reminder one time on your shift. How do you code this transfer?
What is supervision of 1
How a resident transfers on and off the toilet or commode is considered a part of toileting? True or False
What is True
It is acceptable to document independent with limited assistance for eating. True or False?
What is false.
When it's really busy on the floor, it is acceptable to document on any computer even if it is logged in under someone else's name to save time. True or False
What is False