Restorative RN

RESTORATIVE RN

SUMMARY:

I work with my residents who need restorative nursing measures to gain or to maintain their highest possible, practical functioning level.  I am the liaison between formal therapy, nursing and the Interdisciplinary Team (IDT).  I act as a resource and a role model for my fellow nursing staff and students, and I participate in activities such as nursing committees and professional organizations that promote the improvement of nursing care and the advancement of professional rehabilitation nursing.

I coordinate nursing care activities in collaboration with other team members of the interdisciplinary team to facilitate achievement of the overall goals set forth by my residents.

I provide direction and supervision of Restorative personnel.  I demonstrate professional judgment.  I use problem solving techniques and time management principles, and I delegate tasks appropriately.

PERSONAL QUALIFICATIONS FOR MY POSITION

I am a Registered Nurse, licensed with the State of Michigan.  I perform hands-on nursing care by utilizing the nursing process to achieve quality outcomes with my residents.

I demonstrate effective oral and written communication skills to develop rapport with my residents, their families and health team members and to ensure the fulfillment of requirements for legal documentation and reimbursement.

Within 2-3 years I will become certified as a Certified Rehabilitation Registered Nurse (CRRN) through the Association of Rehabilitation

COGNITIVE AND SENSORY REQUIREMENTS FOR MY POSITION

• I must be able to talk in order to communicate with others.
• I must be able to hear in order to conduct assessments, communicate, and take instructions from physicians and supervisors.
• I must be able to see in order to do my job effectively and correctly.
• I must be able to smell in order to conduct assessments and determine overall cleanliness of our residents’ environment.

FUNCTIONS OF MY POSITION:

1. I work closely with formal therapy.  I see that specific recommendations, when discharged from therapy, are carried through and declines are prevented.  I work closely with the skilled therapist and my resident to establish restorative nursing goals and interventions for my resident’s care plan.
2. I work with neighborhood nurses to ensure that they are making progression/regression summary notes monthly which are specific to the restorative nursing measures being done.  I make rounds to oversee and monitor the program and to provide one-to-one teaching as necessary.
3. I screen residents for programs they need.  I use formal therapy screens to help assess my resident’s needs.  I perform functional assessments in conjunction with the MDS/RAI process.
4. I develop problem/need statements, goals and interventions for programming Phase II, and assist nursing staff in Level III.
5. I set up documentation of restorative nursing measures for each resident in Phase II, and assist nursing staff in Level III.
6. I document weekly progress notes for each new resident restorative program, and I document monthly progress notes for ongoing programs in Phase II.  I assist nursing staff in documentation requirements in Phase III. 
7. I work with the nursing management staff in setting up training sessions and restorative training for direct care staff.
8. I ensure that equipment and supplies are available and that they are in good repair and working order for use by my residents.
9. I participate in Quality Assurance Performance Improvement for restorative nursing.
10. I problem solve with fellow staff to resolve problems that arise in providing restorative nursing care.
11. I assist in development of restorative nursing policies and procedures.
12. I assess the physical, psychological, cultural, and spiritual dimensions of my residents and their families, as well as their educational and discharge needs in order to formulate nursing diagnoses.
13. I plan nursing care while acknowledging that rehabilitation nursing is practiced within a dynamic, therapeutic, and supportive relationship that is constantly changing, as nurses and the residents influence one another.
14. I develop goals, in collaboration with my residents, their families and the rehabilitation team, that are oriented to wellness behavior and are reality based and that encourage socialization with others.
15. I implement a plan of care by providing nursing care and education directly or through ancillary personnel, as needed, to maintain and restore function and prevent complications and further loss to my resident. 
16. I evaluate the nursing care that is being provided and modify the plan, as needed, to achieve measurable goals and objectives.
17. I participate in the interdisciplinary team process at team conferences and other team meeting and offer my input into team decision making.
18. I contribute to a safe and therapeutic environment and support activities that promote my resident’s return of function and prevent complications or chronic illness.
19. I assign duties to Restorative CNAs and supervise follow through, performing duties as needed to ensure Residents’ needs are met.
20. I complete the MDS/RAI assessment related to restorative nursing. 
21. I perform other duties as assigned and required.

SUMMARY OF OCCUPATIONAL EXPOSURES FOR MY POSITION:

Tasks and procedures I perform involve risks classified by the CDC as Category A.  Category A positions perform tasks that involve exposure to blood, body fluids or tissue.  My position performs procedures or other job related tasks that involve an inherent potential for mucus membrane or skin contact with blood, body fluids or tissues, or a potential for spills or splashes of them.

AUTHORITY AND ACCOUNTABILITY FOR MY POSITION:

I report to the Director of Nursing. 

I directly supervise the restorative CNA’s and work closely with Neighborhood nurses in seeing that nursing staff is performing the approaches necessary to keep our residents at their highest possible functional level.