2 Functional Needs Checklist - Honeycomb Speech Therapy
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Functional Needs Checklists by Setting

Acute Care

Functional Need
Prompt / Observation:
Notes:
Use Call Light
Have you been able to use your call light? Show me how you use it.
Type to add text
Use Menu
Have you been able to use your menu? Show me how you would find something for lunch.
Type to add text
Order Meal
Have you been able to order a meal? Tell me what you would order for dinner.
Type to add text
Phone Call
Have you been able to make a phone call? Show me how you would call someone.
Type to add text
Ask Medical Question
Have you been able to ask the doctor a question? What might you ask him?
Type to add text
Follow Therapy Recommendations
Have the other therapies given you any instructions? Tell me what they said.
Type to add text
Communicate Needs To Nursing Staff
Bathroom | TV | Door / Window | Medicine / Pain | Hunger / Thirst | Warm / Cold
Have you been able to tell nursing when you need something? What would you say if you were cold?
Type to add text
Follow Safety Precautions
We have rules to keep you safe in the hospital. What is something you need to do to be safe?
Type to add text
TV / Remote Use
Have you been able to use your TV? Show me how you would turn on the news.
Type to add text
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