This is a decision for the licensed nurse overseeing the program to make.
Since there is a maximum case load that designated aides can handle there
should be a policy in place to help determine when a resident can/should be
transferred off the designated restorative aide program. Ususally it is
after a resident is completing the program without difficulty and with no
further progress. Some residents that have more difficult programs to carry
out may never come off the designated case load. While decisions are made on
a case by case basis, some use 90 days as a marker for making the decision
to move the resident off the designated restorative aide program.

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Sent: Wednesday, December 17, 2003 2:33 PM
To: [EMAIL PROTECTED]
Subject: Discharging a resident from a formal restorative nursing
program


We have been looking for documentation related to when a resident is
appropriate to be discharged from the formal restorative nursing program and
to be followed by the unit staff. (unit staff have been trained for
maintenance care such as routine range of motion, ambulation for residents
who can walk with supervision, etc.)

An example is: resident has met restorative goals, is now walking 100 feet
for the last month. Or there are no goals and the exercises to the
contracted limb are routine in nature. 

We have other residents who could be in the program, but due to a limited
number of restorative aides, there is a limit as to how many residents can
be put in the formal program.

How are other facilities with designated restorative aides dealing with
this?

thanks
darlene


/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
-----------------------------------------------------------/
/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
-----------------------------------------------------------/

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