TX HHS Form 6515. CLASS or DBMD Nursing Assessment

The TX HHS Form 6515, CLASS or DBMD Nursing Assessment Addendum C: Protective Devices (DBMD Only), is a crucial tool for healthcare professionals to assess the need for protective devices in individuals with Deaf Blindness and Multiple Disabilities. This form helps solve the problem of determining whether a protective device is necessary, what type of device should be used, and how it should be monitored.

The key features of this form include required information such as the individual's name, Medicaid number, assessment date, medical condition necessitating a protective device, and details on the device itself. Important sections to complete include the circumstances under which the device will be used, how it should be used, and any potential contradictions. Common scenarios of use involve documenting the initial use of a protective device, changes in status, and periodic evaluations.

This form is essential for healthcare professionals working with individuals who require protective devices due to their Deaf Blindness and Multiple Disabilities. By completing this addendum, program staff can ensure that the use of protective devices is properly documented, monitored, and evaluated to promote the overall health and well-being of these individuals. The TX HHS Form 6515: CLASS or DBMD Nursing Assessment Addendum C: Protective Devices (DBMD Only) provides a standardized framework for healthcare professionals to assess and manage the use of protective devices in this population.