As far as coding her transfers..... In order to code her as Independent , ALL transfers need to be independent. If she is transferring some of the time w/ assist and some of the time independently, code her as needing assist. You'll have to determine how much assist she is requiring to determine if it is Limited or Extensive......... As far as documenting reasons for going from one bed to another, I can't offer much assistance as all of our beds are duly certified so it's not an issue here. However, we do get an order to D/C from Med A .... or to Admit to Med A, if they are being picked up after they are  already a resident. WE do not get order to admit to Med A if they are being admitted from the hospital. Hope you find some of this helpful.
 
 -----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Michelle Witges
Sent: Monday, March 22, 2004 10:56 AM
To: [EMAIL PROTECTED]
Subject: adl/med a

I have 2 questions to start the day off.  How do you document that a resident is going from a non med a bed to med a bed?  Situation:  Admitted to non med a bed on 14th after 3 day stay, needs to be pulled up to med a on 21st, needs iv antibiotics.  Do you have dr. order to move to med a bed or how do you document that they are changing pay source?  Question 2, I am updating my 672/802 (matrix and census forms) and I have a resident that is supposed to have staff with her to transfer.  She will transfer self to toilet and to bed frequently.  How would I code this, independent or assist of 1/2?
Thanks,
Michelle
 
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Thank You.
 
Michelle Witges

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