The pre-admission assessment

The pre-admission assessment

When looking at a prospective resident, you must perform a resident assessment to determine if you can perform the care this resident will require. Many facilities will allow a resident to move in who they cannot care for due to low census and many other factors. Performing this EOEA required assessment prior to admission will ensure the relationship with be cohesive for all parties. Using this resident assessment will assist with developing an individual service plan. Take a look below for what the Massachusetts Executive Office of Elder Affairs requires from the resident assessment:

(6) Screening and Assessment.

(a) Prior to a Resident moving in, a nurse shall conduct an initial screening to assess and determine:

  1. The prospective Resident’s service needs and preferences and the ability of the Residence to meet those needs;
  2. The Resident’s functional abilities;
  3. The Resident’s cognitive status and its impact on functional abilities;
  4. Whether SAMM is appropriate for the Resident based on the following:
  5. The completion of an observational assessment by a nurse to determine whether the resident is capable of performing the particular method(s) of independent medication administration; and,
  6. A written statement by that nurse documenting the Resident’s capability of performing the particular method(s) of independent medication administration;
  7. Whether the Resident is at risk for elopement; and,
  8. Whether the Resident is suitable for a Special Care Residence.

(b) The preadmission assessment shall note the name of any Legal Representative, Health Care Proxy, or any other person who has been documented as having decision-making authority for the Resident and the scope of his or her authority.

(c) The initial screening findings shall be documented and disclosed to the Resident, his or her Legal Representative and Resident Representative, if any, before the Resident moves into the Residence

Top Takeaway:

  • (a) Prior to a Resident moving in, a nurse shall conduct an initial screening to assess and determine: 1-6

The pre-admission assessment is a comprehensive assessment meant to discover the needs of a resident by performing a series of questions related to the residents functional/cognitive ability, whether SAMM is required and many other aspects of the residents being. This assessment is used to build the residents service plan of scheduled assistance. Once the assessment is conducted the results should be relayed to the individual and stored in their resident file.