Nancy,
If you have identified which residents would benefit from a turn and repositioning program, have gotten the orders, and have the nurses documenting daily on the treatment sheet that the resident was , in fact, turned every 2 hours, then you are ready for the monitoring and evaluating process.  The nurses should monitor whether the program is successful for the resident--is the skin intact, etc.  Evaluate the program in your weekly/monthly summaries and determine if turning every 2 hours is sufficient.  Some residents require q 1hour turning and others can tolerate going 4 hours at night to benefit their sleep patterns. 
----- Original Message -----
From: MDSNancy
Sent: Monday, November 10, 2003 6:24 AM
Subject: turning and repositioning PROGRAM

I have a question about the revision to the manual about turning and repositioning.  Now it states a "program" that is organized, planned, documented, monitored, and evaluated.  How is everyone going about this?  Up to this point we've had an order to "turn and reposition q2 hrs" that is on the TAR and the nurses are signing off on it.  What else needs to be included , now, according to the revision?  
Thanks, Nancy


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