Guest guest Posted March 7, 2005 Report Share Posted March 7, 2005 Hi - The true success of a rehab low RUG level in a SNF can only be achieved through an effective restorative program with nursing. For those residents who are going home, RL is a great way to monitor their safety and mobility without the daily therapy sessions reinforcing the concepts. For the residents who will remain in the facility long term, RL is a great way to ramp them down and transition them to their new baseline. Remember that at least 45 minutes of therapy over at least 3 days needs to be provided and a documented restorative nursing plan needs to be provided for two services for six days per week according to the RAI manual. If the restorative nursing peice is not in place and documented appropriately, the RUG level does not qualify for payment under PPS. Refer to the RAI Manual 2.0 pages 3-191 to 3-195 for detailed information. I would question wether the RL level could be used for an extended period of time, but for the short term I think it is very apporpriate. Good Luck - Kate Brewer, PT, MBS, GCS Director of Clinical Services Greenfield Rehab Agency SNF Rehab Low > > > > For any therapists working in the SNF venue - are you using the > Rehab Low category much and if so - can you provide scenarios for > how you are doing so? I am managing the rehab dept of a SNF and > we are currently using rehab low infrequently - mostly for 1-2 > weeks to train restorative aides to perform a functional > maintenance program. A manager (nurse) recently indicated that > other facilities are using this category more often and for longer > than we are...so I told her I would try to get more information. > I appreciate any help you can provide. > > Romano PT > Rehab Team Coordinator > Sentara > > > > --------------------------------- > Celebrate Yahoo!'s 10th Birthday! > Yahoo! Netrospective: 100 Moments of the Web > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2005 Report Share Posted March 7, 2005 , Remember that in order to use RL you must have 2 restorative nursing programs 6d/week in place for that patient. Primarily we have used this level to oversee and appropriately upgrade a restorative program. We also use this category for patients who are so deconditioned that they are not even tolerating a RM level. In this way we are able to oversee when they are ready to progress to a higher level and it happens much more efficiently. We are a 47 bed skilled nursing facility focusing on sub acute rehab. Our average length of stay is about 3 weeks so we really don't get much of a chance to use the RL category. Debbie SNF Rehab Low For any therapists working in the SNF venue - are you using the Rehab Low category much and if so - can you provide scenarios for how you are doing so? I am managing the rehab dept of a SNF and we are currently using rehab low infrequently - mostly for 1-2 weeks to train restorative aides to perform a functional maintenance program. A manager (nurse) recently indicated that other facilities are using this category more often and for longer than we are...so I told her I would try to get more information. I appreciate any help you can provide. Romano PT Rehab Team Coordinator Sentara --------------------------------- Celebrate Yahoo!'s 10th Birthday! Yahoo! Netrospective: 100 Moments of the Web Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2005 Report Share Posted March 7, 2005 , Remember that in order to use RL you must have 2 restorative nursing programs 6d/week in place for that patient. Primarily we have used this level to oversee and appropriately upgrade a restorative program. We also use this category for patients who are so deconditioned that they are not even tolerating a RM level. In this way we are able to oversee when they are ready to progress to a higher level and it happens much more efficiently. We are a 47 bed skilled nursing facility focusing on sub acute rehab. Our average length of stay is about 3 weeks so we really don't get much of a chance to use the RL category. Debbie SNF Rehab Low For any therapists working in the SNF venue - are you using the Rehab Low category much and if so - can you provide scenarios for how you are doing so? I am managing the rehab dept of a SNF and we are currently using rehab low infrequently - mostly for 1-2 weeks to train restorative aides to perform a functional maintenance program. A manager (nurse) recently indicated that other facilities are using this category more often and for longer than we are...so I told her I would try to get more information. I appreciate any help you can provide. Romano PT Rehab Team Coordinator Sentara --------------------------------- Celebrate Yahoo!'s 10th Birthday! Yahoo! Netrospective: 100 Moments of the Web Quote Link to comment Share on other sites More sharing options...
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