MDS Alert

READER QUESTION:

How Do Mandatory Patient Lifting Requirements Affect ADL Coding?

Question: Our facility is thinking about implementing ergonomic-related safety requirements for nursing staff and therapists to use a two-person assist when transferring heavier or more dependent patients, or we may use a mechanic lift with two persons operating it in specified cases. If we do so, how would we go about assessing and coding ADLs?

Answer: Always code the MDS based on what actually occurred. Thus, if two people provided assistance,then that is what you should capture on the MDS.

One note of caution: If one person is actually providing the assistance, and a second person is standing by, you should only capture the hands-on assistance. There is not a coding category that captures handson physical assistance and supervision/oversight in the same transfer for either column A or column B.

Expert advice provided by Rena Shephard, MHA, RN, RAC-MT, C-NE, president and CEO of RRS Healthcare Consulting Services in San Diego, and founding chair and executive editor of the American Association of Nurse Assessment Coordinators.

Other Articles in this issue of

MDS Alert

View All