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5.26 – Nursing Assessment Packets
ICF nursing assessment forms:
- Quarterly assessment packet:
- Fall risk
- Skin
- Braden scale
- Seasonal/temperature
- Systems assessment
- Abnormal Involuntary Movement Scale
- TB symptom review (only those with positive TB skin test)
- Annual nursing assessment packet
- Psychotropic medication assessment
- Self-medication assessment
ALL assessments must be reviewed through interdisciplinary team process including Comprehensive Functional Assessment and follow-up planning and tracking of recommendations. The Medical Director will review IPP assessment packets.
For Waiver residential sites, the following assessments are used:
- At least annual self-medication assessment
- County Board person-centered assessment
- ODDP
- Fall risk assessment) as per policy 5.17)

Last Revised: 6/6/22