kcherryrn

I have to address each fall in our facility, and provide a fall intervention. Sometimes I just can't think of anything else to do. Does anyone have any ideas to share. We frequently use audio alarms and mats, non-skid strips and material. We try to avoid restraining if at all possible. Thanks, KCherryRN

Julie You had asked for some of the forms we utilize at our facility......Sorry it has been so long I have not had "computer time" if you know what I mean.... Do you have a fax number so that i could send you some samples? Hope all is going well. KCherryRN

Sorry, I hit the submit button twice!!! kcherryrn :rotfl:

Hello, I have been working as a Restorative Nurse Coordinator for 6 years in Mississippi. As mentioned earlier, referring to your MDS will help some, but there is alot more info needed to begin this type program. I am not familar with any published info out there, but I am sure there are some available. Working with your therapy department is essential. Residents are usually referred to Restorative by therapy, but nursing can refer patients too, if there is a need. All patients beginning a restorative program must be initially evaluated (with a form) of course, and then monthly by a liscened nurse. A restorative plan of care must be formulated and followed, indicating individualized, specific goals for each resident. The RCNA's document daily on the treatment. Your RCNA needs to be a leader who who can work well with little supervision. It is essential that your RCNA be able to document well. The specific goals must be included on the RCNA's daily documentation sheet. Restorative treatment must be done no less than 5 times weekly for atleast 15 minutes, and have 2 different treatments in order for reimburstment. Example: ambulation and bed mobility x's 15 minutes each. AROM and PROM are considered only 1, so if they only have these 2 treatments, you will not be reimbursed. On the CNA's daily documentation, the following must be indicated: their INITIAL, how the Resident TOLERATED the treatment, any PROGRESS, how much ASSISTANCE they required, and the # of MINUTES spent with them. If ambulation is the treatment, you also need to include the DISTANCE they walked, and how many REST STOPS they required. The nurses monthly summary should provide an overview of the residents progress for that month. According to how well the resident did, your plan of care should be updated. Example: residents goal for ambulation is 400ft with 2 min assist. Review of the RCNA's daily documentation indicates that the Resident ambulated 4ooft with 2 assist. You would need to change the goal and care plan to increase ambulation to 450ft with 2 min assist. Restorative is a wonderful program. It is used to Maintain, prevent, or "restore" a function. example: currently at our facility a man required restraints in his w/c due to a fx leg from a fall. With approx. 7 months of restorative, this man is no longer restrained and is ambulating 700ft 2x's daily with the RCNA's. His agitation and behaviors have improved. He is obese and a diabetic. His blood sugars have improved, and he has therapeutically lost some weight with exercising. He also was noted as being incontinent daily to now only a few times a week. I hope any of this helps. I have lots of info, and will gladly share with you if you would like. Just let me know of any questions. kcherryrn

Hello, I have been working as a Restorative Nurse Coordinator for 6 years in Mississippi. As mentioned earlier, referring to your MDS will help some, but there is alot more info needed to begin this type program. I am not familar with any published info out there, but I am sure there are some available. Working with your therapy department is essential. Residents are usually referred to Restorative by therapy, but nursing can refer patients too, if there is a need. All patients beginning a restorative program must be initially evaluated (with a form) of course, and then monthly by a liscened nurse. A restorative plan of care must be formulated and followed, indicating individualized, specific goals for each resident. The RCNA's document daily on the treatment. Your RCNA needs to be a leader who who can work well with little supervision. It is essential that your RCNA be able to document well. The specific goals must be included on the RCNA's daily documentation sheet. Restorative treatment must be done no less than 5 times weekly for atleast 15 minutes, and have 2 different treatments in order for reimburstment. Example: ambulation and bed mobility x's 15 minutes each. AROM and PROM are considered only 1, so if they only have these 2 treatments, you will not be reimbursed. On the CNA's daily documentation, the following must be indicated: their INITIAL, how the Resident TOLERATED the treatment, any PROGRESS, how much ASSISTANCE they required, and the # of MINUTES spent with them. If ambulation is the treatment, you also need to include the DISTANCE they walked, and how many REST STOPS they required. The nurses monthly summary should provide an overview of the residents progress for that month. According to how well the resident did, your plan of care should be updated. Example: residents goal for ambulation is 400ft with 2 min assist. Review of the RCNA's daily documentation indicates that the Resident ambulated 4ooft with 2 assist. You would need to change the goal and care plan to increase ambulation to 450ft with 2 min assist. Restorative is a wonderful program. It is used to Maintain, prevent, or "restore" a function. example: currently at our facility a man required restraints in his w/c due to a fx leg from a fall. With approx. 7 months of restorative, this man is no longer restrained and is ambulating 700ft 2x's daily with the RCNA's. His agitation and behaviors have improved. He is obese and a diabetic. His blood sugars have improved, and he has therapeutically lost some weight with exercising. He also is noted as going from being incontinent daily to a few times a week. I hope any of this helps. I have lots of info, and will gladly share with you if you would like. Just let me know of any questions. kcherryrn

Thanks for the help! kcherryrn :kiss

I am a RN in long term care. I am looking to "re-vamp" our unsuccessful toileting program. I need info on what qualifies a Resident for this type program, what factors dis-qualify one? How does "dribbling" of urine come into play with a toileting program? The same questions apply to Bowel and Bladder retraining. My staff does not fully understand how to decide which Resident qualifies for which program. Any info will be used to educate staff members and implement toileting programs. Thanks for any help. kcherryrn