restorative nursing

  1. 0 I had just taken a position of restorative nurse coodinator, the program is new at my nursing home. can any body out there give me advice to make this program GREAT.:bowingpur Gale54
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  3. Visit  gale54 profile page

    About gale54

    From 'Philadelphia PA'; 60 Years Old; Joined Apr '08; Posts: 2.

    40 Comments so far...

  4. Visit  CharlesJr profile page
    1
    Utilize your most recent up to date MDS RAI manual and get your rehab director on board with you, it will take both departments. Do not let your RNAs get pulled to the floor for call ins etc. Know the rules for reimbursement. This gets your corporate behind you and gives you support.
    gale54 likes this.
  5. Visit  bklynborn profile page
    0
    I also just accepted a position as restorative nurse.........I have 1 RA who is currently running 31 programs..........YOW that's approximatley 18 minutes per resident not much time consodering you have to hunt some of the residents down. I was told I would be able to have another RA when census is up a bit.
    I was wondering what resources that you have found that are helpful?
    Emme
  6. Visit  LTLPN profile page
    0
    Have a question???? Is there a Certified Restorative Nurse program??? Have been searching but just can't find anything.... Thank you.
  7. Visit  de422 profile page
    0
    I too am looking for a certified restorative nursing program and haven't found one so if anyone knows of one please let me know. Am working as a restorative nurse and in need to get programs started like yesterday. I am also looking for a quick and easy restorative assessment for quarterly, admission,sig change that may use a check system with a summary any advice would be appreciated. Thanks
  8. Visit  SitcomNurse profile page
    0
    Quote from LTLPN
    Have a question???? Is there a Certified Restorative Nurse program??? Have been searching but just can't find anything.... Thank you.
    Check out the CRRN threads, and www.rehabnurse.org

    good luck.
  9. Visit  SitcomNurse profile page
    1
    Quote from de422
    I too am looking for a certified restorative nursing program and haven't found one so if anyone knows of one please let me know. Am working as a restorative nurse and in need to get programs started like yesterday. I am also looking for a quick and easy restorative assessment for quarterly, admission,sig change that may use a check system with a summary any advice would be appreciated. Thanks
    Buy a book, Restorative Nursing Made Easy by Kate Brewer, PT MBA, CGS is a good easy guide, simple language.

    this book has guides, care plans, information to start with.

    Also, found a link,.. it is meant for CMI accuracy, but the mroe you get inito this type of thing, and if you really love your job, you will find it is all about CMI.(after you consider all the patient needs)

    http://www.aasa.dshs.wa.gov/Professi...cticefinal.doc

    I had to read it a couple of times to fully grasp, taht I was finally reading what I was looking for all this time.

    Thank GOD for the internet!
    de422 likes this.
  10. Visit  de422 profile page
    1
    Hi sitcomnurse thanks for the reply will check it out please stay in touch
    SitcomNurse likes this.
  11. Visit  SitcomNurse profile page
    0
    Quote from de422
    hi sitcomnurse thanks for the reply will check it out please stay in touch
    [font="comic sans ms"]im back. my program is still running nicely.
    we have had a few significant changes 2* to nursing rehab., increasing the cmi, changing the lives of a few residents,and sent a couple home.

    a few rehab lows to be proud of too, where the resident transitioned to the unit seamlessly.

    i am wondering if anyone out there would be willing to share their start up difficulties.
    if they are including distances(written by ra'a or cna's) on the sheets.

    we have a standard distance sheet, (point a to point b is x feet) and i refrence this when writing my papers for ambulation, plus distributing copies and making sure that all the inservice books have the sheets in them.

    i think our cna's should be more responsible for their charting, but cannot seem to get them to rise to the occasion. documentation gets done, such as it is, but i feel that if they were held to a higher standard, as in any profession, there would be shiners and nay sayers.

    i am still puttering around with care plans, making them tweak for the residents and this facility, with our own policy and procedure confines.

    i would really like to make contact with other ltc rehab nurses, crrn or just rn running the show... and lunch over how to enhance what i am doing, and maybe enhance what you are doing. i just think that more heads are better than one. im the only one doing this in my building. i have no other refrence points to go by.

    if your on long island, look me up, drop me a line, i'd really love to get together. your facility or mine.

    let me know.

    sitcom nurse..
    sometimes god puts on the sitcom nurse channel. its like comedy central for her.
  12. Visit  de422 profile page
    0
    Hi I am a LPN working as a restorative nurse in Florida. I am starting up our restorative programs. Ambulation we put it on the CNAs flow sheet that the resident is walked to dine which is a constant battle but, then we also have residents in a restorative ambulation which is done by RNAs. We are also working towards cultural change in the facility and trying to get things going with activities and cnas for ROM/ exercise groups and more restorative type groups. we can do restorative programs with a 1-4 ratio. Trying to get the floor cnas invovled with working with the residents in the day rooms are hard and will need alot of re-educating. We are also trying to get the residents invovled with working with the WI which should be fun. Would love to hear more about your programs and how you document. Do you do the MDS if so which parts? Please stay in contact need to stick together on this thanks
  13. Visit  Maedele profile page
    1
    It would be great if we could keep this thread going. Being a Restorative Nurse is rewarding and can be fun and at the same time very frustratin, my RNA's are constantly pulled to the units or asked to do other jobs which means that many days programs are not done for all residents sometimes we can only get to 25-30 out of 60+ programs per day. I have 3 RNA's ea has about 20-22 programs daily, we have PSFP for 3 meals, have to assist in the DR's, provide transfer training, look for equipment, and on it goes, all this in 7 hrs/day. We recently implemented charting by exception for the RNA's and I will summarize quarterly about resident's progress, how much residents participates or not, and so on. We rarely get coverage in our department when RNA is sick or on vacation. How is everyone else dealing with these issues.
    SitcomNurse likes this.
  14. Visit  de422 profile page
    1
    Hi I know what you mean about the RNAs being pulled and restorative being responsible for everything. We get pulled to work the floors, find missing wheel chair parts you know how leg rest walk away during the night . How do you keep track of alarms and keep them from being broken? We are excited we just had our solarions remodeled and now we are getting ready to start different programs. You say you have about 60 programs going boy do we need to talk I need so much help. What types of programs are you doing? Do you have group programs , one on one. How do you do it? Do you do the care plans and MDs? This week we are being surveyed so next week I have to start working very hard in getting things started. Do you chart on all the residnets or just ones in restorative? yes we must keep this thread going and keep in touch my goal is to have the best programs and keep the staff positive and have some fun with both residents and staff. Too many times the resident say how bored they are. I want to keep them at their highest functioning possible. Thanks for any input you have
    SitcomNurse likes this.
  15. Visit  SitcomNurse profile page
    1
    keep in mind i have a 350 bed ltc facility, and we are all rna's.

    Quote from de422
    how do you keep track of alarms and keep them from being broken? i have a list on the units, and when the shifts do walking rounds together at the beginning of their shift, they check the alarms for their assigned patients. a check on the list is ok. for alarms that are broken, we put on the 24* report sheet, batteries are always available, all nursing supv.'s have access to extra bed/chair pads and alarm boxes. (this is the ideal) if a replacement cannot be obtained, we will increase monitoring for the night/day for one to be obtained. if that still isnt possible(weekend) we exchange the monitor with someone who has it, but may not actually need it(boxes only)

    what types of programs are you doing? 8 different modalities are employed at our facility. we do not do bladder re-training unless there is a discharge plan. how do you explain keigles to a 80 y.o man with dementia? you cant. we do a schedule after a 3 day voiding record at 2 hour intervals.

    do you have group programs , one on one. how do you do it? group programs work best on the dementia unit. some cna's will do it if there is more than one on their assignment(remember i am talking about 36 cna's) and we do hospice care on the same unit as rehab care. most of the programs therefore are 1:1 as the cna's feel ownership of the progress for residents, its their resident.

    do you do the care plans and mds? i do the initial ccp, and then the unit nurse takes over for all adjustments(plan changes not modality changes)

    do you chart on all the residnets or just ones in restorative? the unit nurse or nurse manager will cnart on the resident if they are on maintenence, with the quarterly mds, because there is no standard other then "periodically". if the resident is on restorative with rehab low category for med a, i chart weekly, because the rl category dosent last forever.

    yes we must keep this thread going and keep in touch. i whole heartedly agree!

    my goal is to have the best programs and keep the staff positive and have some fun with both residents and staff. i am keeping staff positive with e-mails to the units weekly on progress(the are printed and posted by the unit nurse), graduation, people who went the extra mile, cna's and administrative staffers who come up with ideas and information, when they put articles in my mailbox or direct me to a website. i also post one information point in each e-mail..which gives a topic of conversation that weekend and the following week.

    too many times the resident say how bored they are. i want to keep them at their highest functioning possible. for boredom, we incorporate the tr dept, and the excercize classes, as well as arts & crafts for fine motor skills.
    thanks for any input you have
    i hope some of this helps. i have questions about documentation.. like.. for toileting.. since for the mds, you need 2 modalities for 15 minutes or greater for 6 days or more in a 7 day look back.. what kind of minutes are there for toileting? it is coded under h for the mds, not p3, but the basic definition for rehab nursing includes 2 modalities for 15 minutes or greater.... blah blah... so.. how can i justify not having minutes to the auditing comittee. i cant find any language on it anywhere!!

    also, the pt/ot rehab dept is on my case about not having distance in feet. are you putting the distance in feet on your
    accountability sheets?

    thanks!!

    sitcom nurse.
    sometimes god turns on the sitcom nurse channel. its like comedy central for her.
    Maedele likes this.

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