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FIM score sheet Burns Name Date of assessment Hospital/unit Method of administration Area Score Date of birth Date of motor accident Direct observation Is score due to the burns Interview with Explain reasons for giving this score SELF CARE 1. Walk/ 13. Stairs Mobility subtotal LTCS FIM score sheet BURNS JULY 2011 AF2014-54 made under the Lifetime Care and Support Catastrophic Injuries Act 2014 s 98 FIM is a trademark of Uniform Data System for Medical Rehabilitation a division of UB...
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How to fill out fim assessment form

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How to fill out FIM score chart:

01
Gather necessary information: Before filling out the FIM score chart, gather all the relevant information about the patient's abilities and functions. This may include medical records, observation of daily activities, and input from healthcare professionals involved in the patient's care.
02
Understand the FIM scoring system: Familiarize yourself with the FIM scoring system to accurately assess the patient's functional independence. The FIM scale consists of 18 items, divided into motor and cognitive domains, and each item is scored on a scale of 1 to 7.
03
Assess motor functions: Evaluate the patient's motor functions, including activities like grooming, bathing, dressing, feeding, and transferring. Assign a score between 1 and 7 for each item based on the patient's level of independence. Lower scores indicate greater dependence, while higher scores indicate higher levels of independence.
04
Assess cognitive functions: Evaluate the patient's cognitive functions, such as comprehension, expression, memory, problem-solving, and social interaction. Again, assign a score between 1 and 7 for each item based on the patient's cognitive abilities and independence level.
05
Calculate the total FIM score: Sum up the scores from all 18 items to calculate the total FIM score. This score represents the overall functional independence of the patient, ranging from a minimum score of 18 (complete dependence) to a maximum score of 126 (complete independence).
06
Document and report the scores: Record the individual scores for each item on the FIM score chart. Ensure that the chart is properly filled out with accurate information. This chart can serve as a useful tool for monitoring the patient's progress over time and for informing treatment decisions.

Who needs FIM score chart?

01
Rehabilitation professionals: Rehabilitation professionals, such as occupational therapists, physical therapists, and speech therapists, often use the FIM score chart to assess and track the functional independence of their patients. The chart helps therapists design appropriate treatment plans and evaluate the effectiveness of interventions.
02
Hospitals and healthcare facilities: Hospitals and healthcare facilities utilize the FIM score chart to assess the functional abilities of patients upon admission and monitor their progress throughout their stay. This information can be valuable for discharge planning and determining the level of care needed after hospitalization.
03
Insurance companies and payers: FIM score charts are sometimes required by insurance companies and payers as a part of the documentation process for reimbursement purposes. The scores help determine the appropriate coverage and level of care needed for the patient.
04
Researchers and academics: FIM score charts are also used in research studies and academic settings to measure functional outcomes in different patient populations. Researchers may analyze FIM scores to identify trends, evaluate the effectiveness of interventions, and contribute to evidence-based practice.
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A sample interview score sheet is a standardized document used by interviewers to evaluate candidates during a job interview. It typically contains sections for scoring various competencies, skills, and attributes of the candidate based on their responses.
Hiring managers and interviewers involved in the recruitment process are required to file the sample interview score sheet to ensure a structured and fair assessment of candidates.
To fill out a sample interview score sheet, interviewers should rate each candidate on predefined criteria, provide comments for each section, and sum up the scores to facilitate comparison between candidates.
The purpose of the sample interview score sheet is to provide a systematic approach to evaluating candidates, ensuring consistency and fairness in the hiring process, and aiding in making informed decisions.
The information reported on a sample interview score sheet typically includes the candidate's name, date of the interview, scoring on specific competencies, comments from the interviewer, overall score, and recommendations for hiring.
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