| 1 | NURACE3 ;HIRMFO/RM-PATIENT CLASSIFICATION FACTOR LISTS ;APRIL 1986 | 
|---|
| 2 | ;;4.0;NURSING SERVICE;;Apr 25, 1997 | 
|---|
| 3 | EN1 ;PSYCHIATRIC FACTOR LIST | 
|---|
| 4 | W !,"    A.  Routine Observation     |" | 
|---|
| 5 | W !,"    B.  Observe 15-25 Min/Hr.   | MUST PICK ONE " | 
|---|
| 6 | W !,"    C.  Observe 30-45 Min/Hr.   | OF THESE FOUR" | 
|---|
| 7 | W !,"    D.  Observe Constantly      |" | 
|---|
| 8 | W !,"    E.  May leave unit alone    >" | 
|---|
| 9 | W !,"    F.  Out with staff/family   > MUST PICK ONE" | 
|---|
| 10 | W !,"    G.  Restricted to unit      > OF THESE FOUR" | 
|---|
| 11 | W !,"    H.  Restricted to room      >" | 
|---|
| 12 | W !,"    I.  Restraint Needed" | 
|---|
| 13 | W !,"    J.  Incontinent of Bowel/Bladder" | 
|---|
| 14 | W !,"    K.  One to One Restriction Needed" | 
|---|
| 15 | Q | 
|---|
| 16 | EN2 ;MEDICAL/SURGICAL FACTOR LIST | 
|---|
| 17 | W !,?4,"1. Activity, independent" | 
|---|
| 18 | W !,?4,"2. Bath, partial assist" | 
|---|
| 19 | W !,?4,"3. Position, partial assist" | 
|---|
| 20 | W !,?4,"4. Position, complete assist" | 
|---|
| 21 | W !,?4,"5. Diet, partial assist" | 
|---|
| 22 | W !,?4,"6. Diet, feed" | 
|---|
| 23 | W !,?4,"7. IV, Add. q 6 h or more or TKO" | 
|---|
| 24 | W !,?4,"8. Observe q 1-2 h" | 
|---|
| 25 | W !,?4,"9. Observe almost constant" | 
|---|
| 26 | Q | 
|---|
| 27 | EN3 ;CRITICAL CARE FACTOR LIST | 
|---|
| 28 | W !,?4,"A. Position, partial assist   | CHOOSE ONE OF" | 
|---|
| 29 | W !,?4,"B. Position, complete assist  | THESE TWO" | 
|---|
| 30 | W !,?4,"C. Physiological monitoring, more than q 2 h  >" | 
|---|
| 31 | W !,?4,"D. Physiological monitoring, q 1-2 h          > CHOOSE ONE OF" | 
|---|
| 32 | W !,?4,"E. Physiological monitoring, q 1 h or less    > THESE THREE" | 
|---|
| 33 | W !,?4,"F. Intravenous therapy, one IV" | 
|---|
| 34 | W !,?4,"G. Intravenous therapy, 2 or more lines" | 
|---|
| 35 | W !,?4,"H. Respiratory status, non-acute" | 
|---|
| 36 | W !,?4,"I. Respiratory status, acute" | 
|---|
| 37 | W !,?4,"J. Special procedures performed" | 
|---|
| 38 | Q | 
|---|
| 39 | EN4 ;EXTENDED CARE FACTOR LIST | 
|---|
| 40 | W !,"1.  Basic Hygiene/Bathing (Choose One)    | 2.  Nutrition/Feeding (Choose One)" | 
|---|
| 41 | W !,?4,"A. Self                               |     D.  Self" | 
|---|
| 42 | W !,?4,"B. Partial assist                     |     E.  Partial Assist" | 
|---|
| 43 | W !,?4,"C. Complete assist                    |     F.  Complete Assist" | 
|---|
| 44 | W !,"3.  Elimination (Choose One)              | 4.  Mobility (Choose One)" | 
|---|
| 45 | W !,?4,"G. Self                               |     J.  Self" | 
|---|
| 46 | W !,?4,"H. Partial assist                     |     K.  Partial Assist" | 
|---|
| 47 | W !,?4,"I. Incontinent                        |     L.  Complete Assist" | 
|---|
| 48 | W !,"5.  Behavior/Orientation (Choose One)" | 
|---|
| 49 | W !,?4,"M. Alert/Oriented/Responsive" | 
|---|
| 50 | W !,?4,"N. Occasionally Disoriented/Confused" | 
|---|
| 51 | W !,?4,"O. Disoriented/Combative/Unresponsive" | 
|---|
| 52 | Q | 
|---|
| 53 | EN5 ;SCI FACTOR LIST | 
|---|
| 54 | W !,"    A. Activity, Independent" | 
|---|
| 55 | W !,"    B. Bath/Shower, Set up, partial assist" | 
|---|
| 56 | W !,"    C. Bath/Shower, Complete assist" | 
|---|
| 57 | W !,"    D. Position/Transfer, Set up, standby or partial assist" | 
|---|
| 58 | W !,"    E. Position/Transfer, Complete assist" | 
|---|
| 59 | W !,"    F. Diet, Set-up, standby or partial assist" | 
|---|
| 60 | W !,"    G. Diet, Complete assist" | 
|---|
| 61 | W !,"    H. Bowel Care, Set up, standby or partial assist" | 
|---|
| 62 | W !,"    I. Bowel Care, Complete assist" | 
|---|
| 63 | W !,"    J. Monitor/Observe/Teach, 15-25 Min/Hr" | 
|---|
| 64 | W !,"    K. Monitor/Observe/Teach, 30-45 Min/Hr" | 
|---|
| 65 | W !,"    L. Constant Monitoring" | 
|---|
| 66 | Q | 
|---|