Re: love rehab :)
Hi, I am a CRRN working in a 58 bed Acute Rehabilitation facility.
In my 29 years of Rehab Nursing I have seen a dramatic change in our field with the implementation of prospective payment system in Rehab.
Unfortunately the patients and thier families are the losers.
Our biggest challenge is to create an efficient documentation sytem that identifies the burden of care, captures the need for Rehab Nursing, and measures a patients progress.
Our facility utilizes the MEDITECH electronic documentation sytem.
I have created a Nursing documentation module based on the descision trees used in the "IRF-PAI" tool. It is somewhat more time consuming, but does reflect how much assistance the patient required.
The down side is that based on this documentation our patient outcomes in the "FIM's" system are dropping.
Is anyone else experiencing this?
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