CNA/STNA Functional Abilities Mobility Flow Sheet - DIGITAL FORM
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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.
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*SUBSCRIPTION: Form access is licensed for 1-year per agency/facility location. Multiple sites require a quote. This digital form is delivered as a form-fillable PDF and includes 1-year of updates. To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment) and provide the facility/agency address. After 1- year, your subscription will automatically renew.