In order to be coded on the MDS, the restorative program must be supervised by nurses, not rehab therapists.  See page 3-194 of the RAI User's Manual:  "Although therapists may participate, members of the nursing staff are still responsible for overall coordination and supervision of restorative nursing programs."

Rena

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]

Subj: Re: Nursing rehab
Date: 4/5/04 11:20:17 AM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the Internet



our restorative nursing program is managed by the
rehab department but our restorative nurse aides
belongs to the nursing department and their boss is
the director of nursing.
the director of rehab oversees the entire restorative
program, gives recommendation as to who is a candidate
for restorative program or who is not. the restorative
aides have a log book which is kept in the rehab dept.
arranged alphabetically &categorized according to
kind of program - ambulation, ROM,  splint
application...etc...
nursing also contributes to the process by reviewing
who has improved or declined and referral sheet is
forwarded to director of rehab if significant changes
or concerns noted.
we have trained several nurse aides to be restorative
aides and awarded them a plaque of recognition plus
company shirts as gifts to boost their morale.
we have brought them in the dept. head meeting and to
praise them &recognize their efforts.
the program is up &going.


--- Holly McGran <[EMAIL PROTECTED]> wrote:
>
>
>  We are having the hardest time getting our nursing
>rehab/restorative nursing program off the ground. It
>has become a very
>complicated system of everyone questioning whether
>or not it is nursing
>rehab; CNAs not documenting or not understanding the
>minute concept.
>Difficulties communicating to the CNAs what goals
>are nursing rehab and
>to document on those and not the others that are not
>nursing rehab etc.
>etc. and what we end up with is the vast amount of
>our MDSs with -0 for
>this section. Does anybody have any ideas/best
>practices or input on how
>to get a handle on this. I would appreciate
>anything....thank you in
>advance.
>Holly McGran 
>


=====
Melinda de la Cruz, R.N., B.S.N., RAC-C
MDS Coordinator



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