CNA/STNA Functional Abilities Mobility Flow Sheet
Corresponds to the use of Section GG with the MDS 3.0 capturing the resident's functional abilities for mobility on a daily basis.
Briggs CNA/STNA Functional Abilities Mobility Flow Sheet is available to record the resident's mobility status as well as the amount of assistance needed to perform those tasks:
• | Roll Left and Right |
• | Sitting to Lying |
• | Lying to Sitting on Side of Bed |
• | Sit to Stand |
• | Chair/Bed-to-Chair Transfer |
• | Toilet Transfer |
• | Tub/Shower Transfer |
• | Walk 10 Feet |
• | Walk 50 Feet with Two Turns |
• | Walk 150 Feet |
• | Wheel 50 Feet with Two Turns |
• | Wheel 150 Feet |
This Functional Abilities Mobility Flow Sheet corresponds with the #3859P/#3859E for specific self-care tasks.
Size: 11" x 17" folded to finished size of 8 ½" x 11"
Print: Black Ink
Punching: 5-holes top and side
Packaging: 100/pack