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