restorative nursing

Specialties Rehabilitation

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Specializes in acute care LTC.

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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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.

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Specializes in GERIATRICS, DEMENTIA CARE, MED-SURG.

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

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Have a question???? Is there a Certified Restorative Nurse program??? Have been searching but just can't find anything.... Thank you.

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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

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Specializes in Geriatrics and Quality Improvement,.
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 http://www.rehabnurse.org

good luck.

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Specializes in Geriatrics and Quality Improvement,.
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/Professional/nh/2004/2004%20Bestpracticefinal.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!

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Hi sitcomnurse thanks for the reply will check it out please stay in touch

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Specializes in Geriatrics and Quality Improvement,.
hi sitcomnurse thanks for the reply will check it out please stay in touch

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.

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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

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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.

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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 :lol2:. 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

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