? RE: Starting A Restorative Nursing Program

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Good morning! I am going to be starting a restorative nursing program in our nursing home. I am looking to see if anyone knows of any references/books to help get me started. I am starting from SCRATCH. I am very excited to take on this new venture, but am having trouble finding info on how to start, rules/regulations, etc. If it helps, I'm from Pennsylvania. ANY info would be greatly appreciated. Thanks! Julie:uhoh21:

Good Luck with starting your program...it will be a challenge to say the least. I have a good book called "Restorative Nursing...A Practical Guide for Building A Program" By BJ Collard that has helped me. I also found some free info online (not easy) but unfortunately I do not remember the name of the website and can't seem to find it again. But I have a copy of it and would be happy to share it with you via snail mail if you would like it. Let me know if you need forms and such as well as I can send you some stuff that we use via email....again GOOD LUCK and stick with it!;)

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Specializes in Geriatric (LTC & SNF).
Good Luck with starting your program...it will be a challenge to say the least. I have a good book called "Restorative Nursing...A Practical Guide for Building A Program" By BJ Collard that has helped me. I also found some free info online (not easy) but unfortunately I do not remember the name of the website and can't seem to find it again. But I have a copy of it and would be happy to share it with you via snail mail if you would like it. Let me know if you need forms and such as well as I can send you some stuff that we use via email....again GOOD LUCK and stick with it!;)

I am new to restorative nursing. I am starting my new job next week as a restorative nurse. I have the book that you mentioned above and was wondering if you would be willing to share the info that you got online with me. You can email me at [email protected]. Thanks!!

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I am also a new restorative nurse and would like to receive any information/forms/comments/ideas from the experienced restorative nurses here. Thank you in advanced. [email protected]

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Good Luck with starting your program...it will be a challenge to say the least. I have a good book called "Restorative Nursing...A Practical Guide for Building A Program" By BJ Collard that has helped me. I also found some free info online (not easy) but unfortunately I do not remember the name of the website and can't seem to find it again. But I have a copy of it and would be happy to share it with you via snail mail if you would like it. Let me know if you need forms and such as well as I can send you some stuff that we use via email....again GOOD LUCK and stick with it!;)

Thanks for the info, I've been having some issues with CNA's following the programs as it is easier for them to just do everything for the residents instead of taking the time to encourage them do things for themselves. Anyone else having the same issues? I will stick with it.

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Last year I found a document on the internet called "The Restorative Nursing Toolkit" that was a 50 some odd page manual put out by one of the QIOs. It was a great resource that provided all the information you might possibly need about restorative nursing. Unfortunately it seems to have been removed. I did print out a copy though but can't find it at the moment. I do have a "Rehab/restorative aide orientation checklist" on my hard drive that could serve as a foundation for a restorative program. Since I don't seem to be able to upload files here, just shoot me an email and say something about the restorative orientation checklist: [email protected].

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The State of Kansas has a regulatory compliance newsletter for nursing homes in that state. http://www.agingkansas.org/ProviderInfo/Newsletters/Sunflower/2005Jan.pdf has the MDS requirements for a restorative program on pages 8-10. It is titled "MDS coding for restorative nursing" or something like that.

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HI!

WE ARE TRYING TO REVAMP OUR RESTORATIVE NURSING PROGRAM. I HAVE BEEN IN LONG-TERM CARE FOR OVER 25 YEARS. STARTING AS A C.N.A. 25 YEARS AGO AND HAVE BEEN A NURSE FOR MANY YEARS. NOW I AM A NEW ADMINISTRATOR OF 1 YEAR. I THINK IT IS VERY IMPORTANT TO HAVE AN EFFECTIVE RESTORATIVE PROGRAM.

SO MANY TIMES I HAVE SEEN THE RNA PULLED TO THE FLOOR WHEN THEY ARE SHORT. WHICH TAKES AWAY FROM THE INDIVIDUALIZED PROGRAM SET UP FOR EACH RESIDENT. THIS IS A BIG NO-NO IN MY BOOK EXCEPT AS A LAST RESORT

IF ANYONE HAS ANY FORMS OR INFORMATION TO SHARE. IT WOULD BE GREATLY APPRECIATED

Hi. We are trying to revamp our RNP in our facility as well. Does any one have any resources, forms or anything to assit us?? I am trying to help our resotartive nurse who is new to the position, I am an COTA. Thank you so much for your help.:specs:

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Hi

I would really appreciated if you can send me some forms

thanks

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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

I would like to know if you can share your information with me because i need to start the program .Thanks in advance:yeah::nurse:

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Specializes in psychiatric, UR analyst, fraud, DME,MedB.
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

Wow !! You are good. Do you know anythiing of me as an RN starting an assited living facility? I am sure the regs are less tenious ?

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Specializes in geriatrics.

I am interested in the restorative information if you still have it. Thank you. [email protected]

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Hi kcherryrn ~ I am also trying to figure out the best forms to use on our restorative therapy . I have been doing it for 1 year! I absolutely love it!!! We are trying to figure out way to do a check off list and not having to be so detailed about certain cleints that are doing the same thing everyday. Do you have any good resources ? I ordered the book from the Polaris Group ... its so so.. Thanks for your time Acorntree14

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