Understanding and Coding MDS Item F0800H: Staff Assessment - Staying Up Past 8PM

Understanding and Coding MDS Item F0800H: Staff Assessment - Staying Up Past 8PM

Introduction

Purpose:
MDS Item F0800H, "Staff Assessment: Staying Up Past 8PM," is part of the Customary Routine section in the MDS 3.0 assessment. This item helps document the resident’s usual bedtime preferences and patterns, specifically noting if the resident typically stays up past 8PM. Understanding the resident’s preferred sleep routine is essential for personalized care planning, ensuring that the resident’s individual comfort and preferences are respected.

What is MDS Item F0800H?

Explanation:
MDS Item F0800H is located in Section F (Preferences for Customary Routine and Activities) of the MDS 3.0. This section is designed to capture residents' preferences for daily routines, allowing caregivers to tailor care approaches based on each resident’s unique needs and routines.

• Definition: Item F0800H is used to indicate whether the resident typically stays up past 8PM as part of their routine. Staying up later may be a lifestyle preference or related to other personal needs.
• Importance: By documenting the resident’s preference to stay up past 8PM, caregivers can help ensure the resident’s comfort, reduce distress, and support a more positive long-term care experience.

Guidelines for Coding MDS Item F0800H

Coding Instructions:

1. Determine the Resident’s Usual Bedtime:
   Staff should assess whether the resident typically stays up past 8PM, based on direct observation, input from the resident, or information from family members. A consistent bedtime routine past 8PM indicates a preference for a later evening schedule.

2. Scoring F0800H:

   • Code 0 (No) if the resident does not usually stay up past 8PM.
   • Code 1 (Yes) if the resident typically stays up past 8PM as part of their usual evening routine.

3. Documentation Requirements:
   If coding “Yes,” include relevant notes in the resident’s care plan that specify this bedtime preference. This ensures that all staff members are aware of and can respect the resident’s customary bedtime routine, especially during evening shifts.

4. Verify with the Resident or Family if Needed:
   If there is any uncertainty, discuss the resident’s usual bedtime with them or with family members to accurately document this preference.

Example Scenario:
Mr. Smith has a long-standing routine of staying up until 9:30PM to watch television. The care team has observed this behavior consistently over several weeks. Based on this information, code 1 (Yes) for F0800H, indicating that Mr. Smith typically stays up past 8PM.

Best Practices for Accurate Coding

Observe the Resident’s Evening Routine:
Consistently monitor the resident’s bedtime routine to ensure the coding accurately reflects their typical preference. Evening routines may vary from resident to resident, and regular observations help maintain accuracy.

Communicate with the Resident and Family Members:
Discuss bedtime preferences with the resident whenever possible, and verify with family members if additional information is needed. This helps ensure a clear understanding of the resident’s preferred evening schedule.

Update the Care Plan Accordingly:
Include the resident’s preference for staying up past 8PM in their care plan. This helps staff members respect and accommodate this preference, creating a more comfortable and familiar environment for the resident.

Conclusion

MDS Item F0800H is essential for understanding and honoring the preferred bedtime routine of residents in long-term care. By accurately documenting whether a resident typically stays up past 8PM, caregivers can help create a personalized care environment that supports comfort and consistency. This item plays a vital role in promoting individualized care and enhancing resident satisfaction.

Click here for a detailed step-by-step link for this item set

Reference

For more detailed guidelines on coding MDS Item F0800H, refer to the CMS’s Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024, Chapter 3, Section F, Page 3-32.

Disclaimer

Please note that the information provided in this guide for MDS 3.0 Item F0800H: "Staff Assessment - Staying Up Past 8PM" was originally based on the CMS’s Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual, Version 1.19.1, October 2024. Every effort will be made to update it to the most current version. The MDS 3.0 Manual is typically updated every October. If there are no changes to the Item Set, there will be no changes to this guide. This guidance is intended to assist healthcare professionals, particularly new nurses or MDS coordinators, in understanding and applying the correct coding procedures for this specific item within MDS 3.0. The guide is not a substitute for professional judgment or the facility’s policies. It is crucial to stay updated with any changes or updates in the MDS 3.0 manual or relevant CMS regulations. The guide does not cover all potential scenarios and should not be used as a sole resource for MDS 3.0 coding. Additionally, this guide refrains from handling personal patient data and does not provide medical or legal advice. Users are responsible for ensuring compliance with all applicable laws and regulations in their respective practices.