[kyjule]

Help! I just got this new "promotion?" in my hospital and am in charge of all rehab. scores for reimbursement. This is such a challenge and would love to hear from those experienced...Only thing I can relate it to is doing MDS' for LTC. And well, we all know what FUN that is, huh?




Thanx.

Kyjule

[NannaNurse]

Do you have a 'cheat sheet' to go by? We use a scale....you know the ones where you answer yes or no??? If you answer yes, it takes you to another level...another yes or no....another level??

They should provide you with the information you need to do a good job and I'm sure you will. Good luck and Congrats!!

[Skywatcher]

Your new software for submission should run you thru the levels just like the MDS. We use a form "nursing data collection tool". It ask the question and beside the answer we check, it has the FIM score. Makes things alot easier. The C.N.A. or the nurse fills this out (who ever completes the ADLs with the pt.)
NOTE: we still have to complete the nurses notes but this form is great once you get used to it. You may want to try something similiar. Hang in there and congrats on the promotion

[shrpgrl]

Don't you love it! Our unit makes all the nurse be FIM certified. ( I have been for the last 7 years). We have to fim every shift in all categories. We have cheat sheets in a notebook in the nurses station but I am amazed at the different numbers every gets.

[PooterPT]

I am the PPS case manager. I do all the FIMs training at our facility. UDS has gone to great lengths to put out all kinds of things from the tree to
verbal dialogue to rate FIMs. However, I have a simplified cheat sheet that seems to be very helpful and it has helped to bring our scores into alignment. We all need to be certified. Some basic info I ask our RNs to tuck into their head that has proven very helpful:
1. 2=1 (if it takes 2 helpers the score is 1)
2. If you touch the pt the score will be 4 or less
3. If you do 50% score 3
4. Tabs monitor = 1
5. Verbal cue or supervise = 5 or less


after that I go over the cheat sheet and we do several case studies. We just finished a certification class. All scores were >90%