BLADDER MANAGEMENT-FREQUENCY OF ACCIDENTS

Points of Interest:


*If the staff must clean up or change linens after an accident score 1 total assist. 


*An accident is only considered an accident when clothing, linen or floor gets soiled. If is is contained in the brief it is not considered an accident.

BLADDER MANAGEMENT - Frequency of Accidents: Bladder Management: Frequency of Accidents includes complete intentional control of urinary bladder and, if necessary, use of equipment or agents for bladder control. 

Definition of Bladder Accidents – Bladder accidents refers to the act of wetting linen or clothing with urine, and includes bedpan and urinal spills.

NO HELPER

7 No Accidents—The patient controls bladder completely and intentionally, and does not have any accidents.

6 No Accidents; uses device such as catheter—The patient requires a urinal, bedpan, catheter, bedside commode, absorbent pad, diaper, urinary collecting device, or urinary diversion, or uses medication for control. The patient has no accidents.

HELPER

5 One (1) bladder accident, including bedpan and urinal spills, in the past 7 days.

4 Two (2) accidents, including bedpan and urinal spills, in the past 7 days. 

3 Three (3) accidents, including bedpan and urinal spills, in the past 7 days.

2  Four (4) accidents, including bedpan and urinal spills, in the past 7 days.

1 Five (5) or more accidents, including bedpan and urinal spills, in the past 7 days

If the patient does not void (e.g., subject has renal failure and is on hemodialysis or peritoneal dialysis), then code level 7 - Complete Independence 

COMMENT: The functional goal of bladder management is to open the urinary sphincter only when needed and to keep it closed the rest of the time. This item deals with the frequency of accidents required to complete bladder management tasks.