MO690 Attn supervisors or QM

[JMfanatic]

I am noticing that this OASIS item, transferring, is a difficult one for our nurses to understand. We have attempted handouts and inservices but it continues to be scored wrong. Any suggestions?

[NRSKarenRN, BSN, RN]

last year our agency had 2 inservices

"think like a physical therapist" and "think like a rn"

both helped show what to focus on re observing patient performance and answering oasis questions qccurately.

having pt provide staff inservce has helped boost our scores through the roof this year.

also see:

how to fine tune your oasis questions and properly document:

3m oasis integrity project 2008 revision

[color=#0033ff]updated recommended questions and techniques for oasis m0 items

tips: determine physical and cognitive ability to perform only these 3 transfers safely by obtaining patient demonstration.

assistive device includes:

• equipment items (e.g., walker, cane, grab bars, hydraulic lift, slide board, etc.) that the

patient requires in order to safely perform the transfers

assistive device excludes:

• chair arms or other furniture items

select response 1 if safe transfers require:

• minimal human intervention (verbal cueing, stand by assist, contact guard) but no assistive

device or

• assistive device but no human intervention

select response 2 if transfers require:

• both human intervention and an assistive device (i.e., not safe with just one intervention)

and

• patient can both bear weight and pivot

able to bear weight refers to ability to support the majority of his/her body weight through any combination of weight bearing extremities.

select response 3 if safe transfers require:

• human intervention and

• patient can either bear weight or pivot (can only do one), or do neither (is lifted by

another or by a mechanical lift device)

select response 4-5 if:

confined to the bed, is not able to leave the bed for any of these transfers.