love rehab :)

We are really getting serious about our FIMS. Putting more into the aids'
hands and allowing them to "score" on a modified FIM flowsheet, which then those of us FIM cert. will score onto the FIM sheets. In our staff meeting our DON told us we are scoring that most of our pts are Mod assist-Uh, no. Most when they get to us are max to dep. Problems? we are scoring too high or not scoring at all, and then the scores are based on what therapies charted, which are always higher than nursing. I am not FIM cert yet, but will be soon and I hope that we as a team can turn this around. we are not only hurting our patients rehab potential, but these directly affect our PAYCHECKS.
Rehab is great for starters, but so much depends on the facility. I love where I am-we have a low turn around rate and are a big family. Our census is hurting though, STILL. Right now we may be sitting around 45 out of 60.

our scores are done for 3 days which include Day, Eve and NIght shift so we will get very accurate scores as long as people fill the sheets out. We aren't so big so it shouldn't be hard to keep on top of it. I think the hardes thing at first will be for the techs to remember to do it. We haven't yet trained our aides in FIM-they have a different paper to fill out, but at our staff meetings we went over our entire fim module. We'll see.