It sounds like it would to me.  We need to evaluate the "program".  It doesn't specify where, so if it is routinely on your wound documentation, that sounds fine.
----- Original Message -----
From: MDSNancy
Sent: Thursday, November 13, 2003 10:23 AM
Subject: RE: turning and repositioning PROGRAM

On our residents that have wounds, we have wound rounds weekly, and the nurses write an evaluation on the wound careplan weekly.  Would it be sufficient if they also documented on the wound careplan sheet their evaluation of the turning and repositioning?  Would that meet the new revision requirements?
Thanks, Nancy

snooky mendoza <[EMAIL PROTECTED]> wrote:
With this new definition, are we only supposed to check m5c (turning and positioning program) if it meets the definition completely?
So, if we have it in the CP interventions and  staff are doing it but we did not document it...we should not check it??
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of carol maher
Sent: Tuesday, November 11, 2003 11:14 PM
To: [EMAIL PROTECTED]
Subject: Re: turning and repositioning PROGRAM

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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