Restorative Program

[mds2011]

If a resident is already in an Ambulation program and I want to increase our reimbursement by adding an AROM, do i need rehab to eval them first before putting them on program.

How about the other program like eating or grooming, do I need OT to eval first. Do I need doctor's order? Thank you...

[ClearBlueOctoberSky]

If a resident is already in an Ambulation program and I want to increase our reimbursement by adding an AROM do i need rehab to eval them first before putting them on program. How about the other program like eating or grooming, do I need OT to eval first. Do I need doctor's order? Thank you...[/quote'] No. Restorative is nursing driven. I'm the Restorative Nurse for my facility and I move people on and off all the time, based on their needs. That said, it also depends on your facility. Before I moved into my position, our therapy department was writing all the programs. It is nice to increase your reimbursement, however, you also need to base those programs around the need of your resident. Do they need to be on an AROM program? Do they require the assistance of aides to dress and perform hygiene? If they are independent, then they probably don't need those programs.

ETA: you don't require a doctor's order for the standard restorative programs. Like I mentioned, Restorative is Nursing Driven. Where you do need a doctors order is for certain modalities, like TENS for pain management. You would get PT/OT involved for splints, then the Restorative a Team or the Floor Staff would take over the management of those. Involve Therapy when you see Improvements, or declines they could help with.