Ra 2nd Qtr FIM

Patient uses the call light for help. She needs your assistance getting out of bed to go to the bathroom,  helping with clothing management/hygiene, transferring onto and off of the toilet. After voiding she then needs your help getting back into bed. What activities are you observing and/or assisting with?

Mr. X  has urgency and needs to use the bedpan. The RA assists the patient by pulling down his pants, provides touching assistance to position him on the bedpan.  Mr. X cleanses himself and is able to pull his pants back up. You've assisted with both Toileting and Bowel Management.

Definition of Bed/ Chair/ WheelChair Transfer The ability to get out of bed, transfer to a chair or wheelchair and back AND/OR to get out of bed to a standing position if walking is the typical mode of locomotion.

True or False? Bladder Management includes complete and intentional control of urinary bladder, and if necessary, use of equipment and/or agents for bladder control. When the patient uses the toilet, even if you're standing by for safety, and s/he does not need a device or medication to control sphincter, nor requires reminders to void,  the level of assistance is Independent.

True or False? If it takes 2 people to assist with the activity, even if one does not physically touch the patient, the level of assistance needed is Total Assistance or a FIM score of 1

You, the helper, provide more than 50% of assistance with undressing lower body. Patient is able to perform 25-49% of the activity.  What is the level of assistance?

True or False? If a patient needs your assistance applying their TED stockings and yet can complete all other lower body dressing tasks without your assistance, the FIM score would be Supervision/Set up or 5.

Regardless of the task, if the patient requires more than 50% assistance to complete a task, the level of assistance would be ....

The rehab term "max assist of 2" in FIM language is a Total Assist or 1. True or False

True or False There is a form to use during your shift to document level of assistance needed in all categories so that you can remember what the patient did and how much assistance was needed. This form is not part of the medical record and can be tossed at the end of your shift. The form was requested by one of the Rehab Aides to insure accuracy. Referring to your notes will help to accurately communicate the level of assistance to the nurse at the end of your shift.