I would need to read the actual deficiency in order to try to determine what the surveyors were getting at.  However, I do have a related comment.  Item G4 is not an assessment of an individuals joint ROM in the same way that the form you mentioned is.  G4 is looking at functional limitation in ROM and by definition it is not looking at PROM. 

First, the question must be answered:  Does the resident have a limitation in range of motion?  If so, then the question for the MDS is, does that limitation in ROM interfere with function or put the resident at risk for injury?  So, just because a person has a limited ROM does not mean it automatically is coded on the MDS.

As the RAI manual says, anyone trained in the procedure can conduct the test.

Rena

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
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Subj: Range of Motion Assessment Question Please
Date: 2/12/04 2:51:43 PM Pacific Standard Time
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I think I asked this question once and did not receive an answer.  We were cited for inaccuracy on G-4.  I have a Briggs ROM Assessment form..my question is, does nursing anywhere do this, or is it always therapist, and does anyone know if it has to be a therapist?  If our PT inservices us can nursing do it? thanks.

Kathy




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