Folder

Question 1

QRP level 6…

Answer 1

Assistance Needed: Independent, with or without AD

Physical Assistance Level: No physical assistance

Question 2

QRP “Assistance Level?”

Answer 2

Indicates the type of assistance pt required.

E.g.,
Independent

AD

Setup/Cleanup

Supervision

Verbal Cues

Incidental Touching

Physical Assistance.

Question 3

QRP “Physical Assistance Level?”

Answer 3

Percentage of assistance provided by clinician:

E.g.,
No Physical Assistance

Less than 25%

25-49%

50-74%

75% or more

Total Assist

Question 4

QRP Level 5…

Answer 4

Setup Assistance/NO helper
Assistance level: AD &/or Setup/Cleanup

Physical assistance level: No physical assistance

OT is only setting up patient for task, e.g., cutting up food for eating.

Question 5

QRP Level 4…

Answer 5

Supervision, Verbal cues, Touching/CGA, NO physical assistance

Assistance level: AD, Supervision, Verbal cues, Incidental touching

Physical assistance level: No physical assistance

*Physical assistance=helping perform an actual part of the activity.
*You do not have to click all 3, Sup/VCs/Incidental touching to get a score of 4

Question 6

QRP Level 3…

Answer 6

Partial/Mod A

Assistance needed: Physical assistance

Physical assistance needed: Less than 25%

*Pt is performing >50% of work/therapist is providing <25%
E.g., Guiding hips into chair, helping pt to weight shift

Question 7

QRP Level 2…

Answer 7

Substantial/Max A

Assistance needed: Physical assistance

Physical assistance level: 50-74% OR 75% or more

*Pt is performing <50% of work/OT providing >50%
OR
*Pt is performing <25% of work/OT is providing >75%
Even if pt is only helping 2% by lifting a foot for donning socks, or reaching toward for to attempt, it counts as effort & max a.

Question 8

QRP Level 1…

Answer 8

Total Assist

Assistance needed: Physical assistance

Physical assistance level: Total assist

Question 9

HR norms & abnormalities

Answer 9

Norm: 60-110 BPM

Abnormal: Above 130 & below 60

*Pts taking cardiac meds, such as Beta Blockers, may present with HR <60. Check chart & with RN prior to tx.

Question 10

SPO2 norms & precautions

Answer 10

Norm 95-100%
Abnormal: Below or at 90%

If pt experiencing abnormal levels, change position to allow for recovery, alert RN.
Educate on breathing exercises; pursed lip breathing.

*O2 may be taken off if saturations on 2L or lower are within parameters set by MD. Check with RN.
*EXCEPTION: Chronic lung/cardiac conditions; COPD, emphysema, lung transplants, etc. as they have difficulty maintaining SPO2 higher than 90%.
–Check MD parameters in chart.

Question 11

BP norms & precautions

Answer 11

Norm: 120/80
Abnormal: >180/110 & <90/60.

If abnormal BP, change pt’s position, check again, then alert RN.

*EXCEPTION: Pts may be taking meds keeping BP high or low. Check chart.

Question 12

Vitals that MUST remain connected to monitor

Answer 12

BP

SPO2

EKG