1. Doc Standards – September 10, 2015
BMAT Project
Doc Standards – September 10, 2015

2. Background Banner Mobility Assessment Tool (BMAT)
CMC tool of choice to assess the patient’s balance and strength
Used to determine the equipment necessary for safe patient handling
Historically, bedrest orders were initiated upon admission and not re-visited, bedrest orders were written and not followed, activity orders written and not followed, assumptions that therapy set activity orders
As a result, patients suffered deconditioning
Prolonged length of stay
Inability to return home (sent to SNF instead)
Risk of HAPU, HAP, DVT, PE, and ileus
Increased risk of falls

3. Doc Flowsheets - Activity
Major changes:
Using past tense and language with an order as opposed actual event happening
Using language consistent with early mobility and assistive devices

4. Doc Flowsheets - Position
Major Changes:
Changed row from “repositioned” to “positioned”
Current terminology for assistive devices

5. Doc Flowsheets – Assistive Device
Major Changes:
Terminology consistent with safe patient handling equipment

6. Pre-Mobility Assessment - NEW
Pre-Mobility assessment done before BMAT to determine patient’s ability to participate in early mobility
To be done in conjunction with admission ADL screening

7. BMAT Assessment – NEW
BMAT assessment will determine the level of activity and the assistive device needed to mobilize the patient to the maximum of their ability
NOTE: Extensive education will be provided on use of assessment tool

8. Worklist – Activity Documentation

9. Orders – Bed Rest
New orders for bedrest will guide the ordering provider
Facility approved reasons for patient’s non-participation in early mobility
If patient doesn’t have any of these conditions, provider can consider early mobility

10. Orders - Bedrest
This order will require the order provider to select why the patient cannot participate in early mobility

11. Orders – Bedrest then Mobility
This order will allow the provider to instruct the nurse to keep the patient on bedrest for 12 or 24 hours, then progress the patient to early mobility

12. Orders - Mobility
This order is for the nursing staff to move the patient according to his/her ability

13. Worklist – BMAT Assessment
A worklist task will trigger the nursing staff to mobilize the patient at least twice a day