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MED-PASS:  Designing Solutions for Senior Care

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Section F - Preferences for Customary Routine and Activities for MDS 3.0 Data Collection Tool - 100/pad


Availability: In stock

Price: $11.25
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Use this stand-alone form to capture resident responses to the MDS 3.0 Section F Interview for Daily Preferences. This stand-alone form gives the responsible discipline the ability to maintain their own interview documents and manage their work flow.

  • Language and format coincide with the MDS 3.0 data set
  • Includes prompts to confirm items A1100 (Language) and B0700 (Makes Self Understood) essential in the interview process
  • RAI Version 3.0 Manual page numbers pertinent to the interview topic are listed at the bottom of the page for quick reference
Size 8 1/2 x 11
Unit Pad of 100
Number of Pages 1
Other Info Handwritten
Hole Punch 5 holes left, 5 holes top