Ex: A fractured hip would count as “1” on ability to bear weight; do not add another 1 in section VI because they had hip surgery.
Ex: A blind patient would be scored “1” as needs minimal to moderate amount of help; do not add a “1” in section VI because they are blind.
__(0)__ If there are no additional factors that complicate patient transfer
__(1)__ Add 1 If additional factors that make the movement/transfer more difficult per primary nurse
Ambulatory Surgery/OR patients, patients who had IV conscious sedation, and patients with mental status changes: score frequently as this is considered a change in condition.
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