We are also a lift-free facility, but it refers more to those who cannot bear weight to help transfer or those that tend to buckle or are unsafe to stand & transfer. We don't dead lift anyone and can no longer transfer using bed sheets like we could a few years ago. If the resident cannot bear weight, they are lifted mechanically. Our policy with the hoyer lift requires two staff for safety (one to guide the lift & one to position the resident) - therefore we code this as a 4/3. If the resident can bear some weight to help pivot & transfer safely, then we'd code 3/2 or 3/3 based on staff needed. (Unless they required less support than extensive, then they'd be coded accordingly). --- Laurie L Swanke <[EMAIL PROTECTED]> wrote: > I have been coding as a 3-2 since the resident does > dome of the work. They need to be able to bear wt > and hold on and it only takes one person > (sometimes). We had this discussion at a seminar > and I think the vote was down the middle--some 3-2 > and some 3-3. I think it finally was decided that > no one really knows the answer and you should decide > how your facility codes and stick with it. > The coding definitely affects your ADL scores and > thus your reimbursement so document your reasoning > if you go with the higher number. > > Laurie > ----- Original Message ----- > From: [EMAIL PROTECTED] > To: [EMAIL PROTECTED] > Sent: Monday, November 10, 2003 7:22 PM > Subject: RE: ADL coding for mechanical lift > transfers > > > Oh Oh I have been coding that situation 4-3, my > rational being the lift is doing the work of a > second person and it also reflects the amount of > effort the resident puts into the transfer. Am I > all wet?! > > We too are a no-lift facility. if the resident it > totally dependent per the manual and only requires 1 > person assist to use the lift, then I code it a 4-2. > > > > > Brenda W. Chance, RN, RAC-C > > MDS Coordinator > > >
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