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MED-PASS:  The Fine Art of Document Design

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Behavior Monitoring/Intervention Flow Record - 100/pack


Availability: In stock

Price: $27.00
  • Buy 5-9 for $22.50 each and save 17%
  • Buy 10 or more for $15.75 each and save 42%

Temporarily out of stock.  Inventory available beginning August 21, 2017. We apologize for any inconvenience. Backorders can be placed via the online store or by calling MED-PASS customer service at 800-438-8884.

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This form reflects the December 2006 changes to the State Operations Manual regarding Unnecessary Medications.

The form provides a systematic and structured approach to monitoring and documenting episodic maladaptive behaviors that correlates data with medication and non-medication treatment outcomes. Documents compliance with Federal Survey Tags F329-331, 483.25 (l) and F428, 429, 483.60 (c).

  • Created to save valuable nursing time by documenting behavior incidents on an episodic basis for residents no longer experiencing frequent behavior incidents.
  • Documents 22 incidents of maladaptive behaviors.
  • Documentation includes Precipitating Factors, Intervention (med and non-med), Outcome and Side Effects.
  • Profile includes Current Medication Therapy, Target Behavior for Each Medication and Gradual Dose Reduction Dates.
  • Extensive coding tables provided for easy documentation of Behaviors, Precipitating Factors, Interventions, Outcomes and Side Effects with ample space for narrative notes.
  • Psychoactive Medication reference provided by medication class.
Size 11 x 17 folds to 8-1/2 x 11
Unit Package of 100
Orientation Horizontal
Other Info Handwritten
Hole Punch 3 holes top

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