Outcome Info
A patient's self care and functional mobility assessed upon arrival to the facility.
What is Admission Motor Score (AMS)?
The patient was diagnosed with chronic renal failure and had no urine output during the 3 day admission period.
What is 05, No urine output?
If a patient requires assistance to perform an activity base the rating on the _____ of assistance.
What is Amount?
Bed mobility: If at the time of the assessment the patient is unable to lie flat due to medical conditions or restrictions and could not perform the activity prior to the current illness or injury.
Code 09, Not applicable. Patient did not perform activity prior to current illness.
Accurate admission scores influence these three things.
What are Length of Stay, Hospital Reimbursement, and Patient Outcomes?
The patient was continent of urine on day 1, had 2 incontinent episodes on day 2, and was continent on day 3.
What is 02, Incontinent less than daily?
Eating: The patient has L hemiparesis and fine motor impairments. At the start of each meal, the patient can use the weighted utensils to bring food to their mouth. The patient then tires, and requires the helper to provide more than half the effort to finish eating.
What is 02, Max assistance. The helper provided more than half the effort.
Lying to Sitting: The patient has Multiple Sclerosis and requires a helper to lift his trunk from lying to an upright position and another helper to lift his legs over the side of the bed.
What is 01, Dependent?
This model allows IRFs to compare facilities, and identify strengths and opportunities for improvement.
What is the Program Evaluation Model (PEM)?
The patient has an increase in allergy symptoms since it's Springtime causing her to sneeze. During the 3 day assessment period she had multiple incidents of incontinence with urine leakage each time she sneezed.
What is 01, Stress Incontinence?
The patient's medical conditions requires him to need full assistance with transfers from the bed to the wheelchair using a lift device.
What is 01, Dependent? If 2 or more helpers are required to assist code as dependent.
The helper moves the wheelchair into the correct position and locks the brakes after which the patient transfers into the wheelchair by himself.
What is 05, Set-up?
Inaccurate admission scores can lead to these 5 things.
What are Wrong CMG, Lower CMI, Lower Reimbursement, Higher Goals to achieve, and Less days.
The patient has a colostomy and had no bowel movement for the day assessment period.
What is 09, Not Rated?
Bed mobility: If at the time of the assessment the patient is unable to lie flat due to a medical condition or restriction, but could perform this activity prior to the current illness or injury.
What is 88, Not attempted due to medical condition or safety concerns.
LBD: The patient has multiple fractures due to a fall and uses a knee brace to be worn during the day. The patient threads their legs and pulls up their pants to just below the hips. The helper is needed to pull the garments over the hips and fasten their knee brace.
What is 03, Partial assist? The helper provides less than half the effort.
Name at least 3 things nursing should document that impact a patient's LOS.
The patient was incontinent of stool on day one and two but had at least one continent BM on the third day of the assessment.
What is 02, Frequently Incontinent?
Sit to Lying: The patient requires assistance to transfer from sitting to lying flat on the bed. The helper cradles and supports the patient's trunk and right leg while the patient assists themself by bending their elbows, left leg, and pushes with their elbows and left foot to transition to a lying position.
Code 02, Max Assistance. The helper provided more than half the effort.
Eating: The patient receives nutrition and fluids through a G-tube and is unable to eat or drink by mouth since his stroke one week ago.
Code, 88. No attempted due to medical condition or safety concerns.