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Questions to Ask for Identifying Communication and Accommodation Needs

1. MOVING (MOBILITY / PHYSICAL / MOTOR – LIMITED OR NO ABILITY GRAB, GRIP, LIFT, HOLD, ETC)

1.1. Uses

  • Wheelchair

  • Scooter

  • Walker         

  • Cane

  • Braces

  • Prosthesis

  • Service Animal

    • - Overnight stay w/ animal

    • - Overnight stay w/o animal

  • Stretcher

  • O2

  • Ventilator               

1.2. Needs                 

  • Assistance walking

  • Assistance transferring

  • Assistance with positioning

  • Accessible Sleeping  Room / bathroom*

    • Visual notification devices  (Door flasher)

1.3. Accessible medical equipment

  • Scale

  • Exam / diagnostic table or chair

  • Assistance transferring

    • Full

    • Partial

    • Lift equipment

  • Bariatric

    • Bed

    • Wheelchair

    • Lift equipment

  • Other: (i.e. infusion chair, MRI etc )

Call Buttons / TV remote control / Water*

  • Large button / pillow switches

  • Sip / puff

  • Accessible water source

*Inpatient only

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