The nursing team at Pratt Rehabilitation and Residence Center is dedicated to meeting the physical health, spiritual, social and emotional needs of the residents.  While we encourage residents to be as independent as possible, our team is ready and able to provide as much comfort and support as the resident wants or requires.  PRRC is staffed twenty-four hours a day by licensed nurses (RN/LPNs).  In addition to the RNs and LPNs, the heart of our care giving effort is provided by a solid team of certified medication aides (CMAs) and certified nurse’s aides (CNAs).   Leadership for the skilled nursing department is provided by: an RN—Director of Nursing; RN—Assessment and Care Plan Coordinator; and RN—Quality Assurance Nurse.  The nursing staff is under the direction of J. Wakon Fowler, MD, Medical Director.

The mission of the skilled nursing department at Pratt Rehabilitation and Residence Center (PRRC) is to provide excellent and compassionate healthcare services for the residents. It is our hope that resident, families and visitors alike will recognize our efforts as “Simply the Best” care. The nursing team can develop, implement and carry out care plans that range from aggressive nursing interventions required for: 1. continued post operative recovery; 2. stabilized long term care focusing on personal assistance with activities of daily living and maintaining physical function; to 3. Palliative—End of Life care.

Skilled nursing services can sometimes be paid for by Medicare A following hospitalization. Skilled nursing services are grouped into four (4) broad categories:

• Management and evaluation of a resident care plan
• Observation and assessment of resident’s condition
• Resident teaching and training activities
• Skilled nursing services to residents

Some examples of direct skilled nursing services are:

• Application of dressing involving prescription medication and aseptic techniques;
• Administration of Intravenous injections (I.V.s);
• Diabetes education & management
• Naso-pharyngeal and tracheotomy aspiration (suctioning);
• Enteral feeding (feeding tubes);
• Insertion, sterile irrigation, and replacement of suprapubic catheters;
• Treatment of decubitus ulcers or widespread skin disorder;
• Heat treatments ordered by a physician requiring observation;
• Early post-operative care of a colostomy with other complications.

Long term care (sometimes referred to as custodial care) is available 24 hours a day. Long term care can include assistance with all the resident’s activities of daily living (ADLs), such as dressing, grooming, toileting, bathing, eating and transfers (lifting) from bed to chair, etc. Long term care will generally include administration/assistance with medication, incontinence care, dementia related confusion and many other routine health-related services and treatments.

Palliative—End of Life services are often undertaken in partnership with a local Hospice provider of the resident/families choice. When faced with a life-limiting illness, the resident and family may choose to cease ineffective curative treatments and instead focus on comfort, compassion and dignity. The goal of palliative care is to keep the resident comfortable and pain free. Ultimately the resident or family may decide to forego continuing some skilled nursing procedures or re-hospitalization so as to let the process run its course.

All skilled nursing team members work together, cooperating with the resident’s family/responsible party, personal physician and all outside care providers, to ensure that excellent, compassionate, comprehensive high quality health care services are provided for the resident.

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