WEDNESDAY, October 23, 2019
Helping residents maintain and attain their highest level of functional status is at the heart of restorative nursing. It has many benefits that support residents’ physical and emotional health. Restorative nursing can also help facilities with quality measures and meeting regulatory requirements. That’s why this area is the latest topic for The Compliance Store’s Binder Basics series. Available as a downloadable guide, this easy-to-use resource covers a wide range of subjects to help facilities develop or enhance a restorative nursing program.
Restorative nursing is vital in helping avoid declines in resident function. It can help residents keep as much of their independence as possible, help them adjust to physical limitations and teach safety. Restorative nursing is not rehabilitation therapy; however, the two can complement one another. Restorative nursing can help residents maintain the gains and skills they learn in physical therapy. In order to ensure that residents get the most benefit from a program, identification and assessment of candidates and their needs are highly important. Our Binder Basics resource provides guidance and tools for assessing residents, care planning and related regulatory requirements.
Accurate and complete documentation of restorative nursing activities is a must. Not only is it required to stay in compliance, it’s needed to ensure residents receive the care they need and to aid appropriate coding. The binder states “requirements for documentation include evidence of the task performed and the amount of time the task was performed on any given day. Additional criteria include the problem being addressed, measurable objective, interventions, and periodic evaluation by a licensed nurse.” In the binder, there is help for daily, weekly and monthly documentation, including a policy, forms and progress notes.
Part of successfully implementing a restorative nursing program hinges on effectively training and managing staff. Regulatory requirements already mandate that staff are trained and competent. Restorative nursing assistants or aides must know the skills and techniques necessary to provide basic restorative services. “Due to the complexities involved in providing restorative services, training should go beyond the classroom to the bedside to show that staff are competent,” the binder advises. Although the amount and method of training may vary according to the facility, the binder includes a training plan and competency forms. Once staff are trained and proven competent, these resources have to be efficiently managed to best serve the needs of the resident population. The binder includes help such as job descriptions, a staffing needs assessment, restorative aide time analysis and restorative schedule.