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Discussion

Need example of obra charting for charting

My job said I need to do my "Obra charting" but no one at work seems to know what that means. For example, it says 3-11 shift do charting for pain on room 601A. On 11-7 shift it says do charting for bed rail on room 603B. What does that mean? Do I chart in the nurses note that patient has pain or not? What about bedrail? Do I chart that the bedrail is up or down? What else? If anyone could show me "actual things I can say in my obra charting" in the nurses notes that would sure help out. Thanks for any assistance.

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    Ask your MDS person to give you more specific information. Obra is referring to the MDS data they need to collect and submit for payment. For pain, they are looking for - is pain constantly/frequently/occasionally, what does the pt. rate it at on numeric pain scale (1-10) if able, does it interfere with sleep or activities, and what they take to relieve it and how often. Bedrails are considered a restraint for Obra, best to check with someone on those specifics.

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