Does he have the ability to get out of the merry walker? Can he maneuver the bar? If 
not I would code as a restraint and just write really good notes etc. This would not 
get you in trouble because it is enhancing the quality of life even though it is 
technically a restraint.

ann m schoeny crnac
sem haven nursing and rehab
225 cleveland ave.
milford, ohio 45150
(513) 248-1270


-----Original Message-----
From: Stacee Kunse [mailto:[EMAIL PROTECTED]
Sent: Friday, April 09, 2004 9:40 AM
To: [EMAIL PROTECTED]
Subject: merrywalker as a restraint...


I have a resident who uses a merrywalker for independent mobility and
ambulation in the halls.  He is too weak to use a regular walker.  In
the MDS manual, a merrywalker is an example in the restraint section.  I
have difficulty coding this as a restraint because it does not pevent
him from rising, does not impede but enhances his mobility.  I have it
sufficiently covered in my RAPS that it enhances mobility, etc.  Do I
still code it as a restraint in MDS, and should it be reflected on the
roster.  I have put it on the roster--I would rather have state look
into it and see our documentation, than have them see him in the hall
and have it not be on the roster and be questioned as to why.  Any
input????




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Stacee Kunse, RN
MDS Coordinator
Tuscola County Medical Care Facility
1285 Cleaver Road
Caro, MI  48723
Phone: (989)673-4117
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/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
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