SUCCESSFUL REHABILITATION RELIES ON A TEAM EFFORT

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1 discoverhealthsouth Volume 3 September 2013 SUCCESSFUL REHABILITATION RELIES ON A TEAM EFFORT A few months ago, Centre County resident Gerry Santoro sustained multiple injuries from a motorcycle accident when a car pulled out in front of him in Pine Grove Mills. Broken bones included his left humerus, left wrist, right thumb, left ankle and left knee cap. After surgeries and a stay at Altoona Regional Trauma Center, Gerry chose HealthSouth Nittany Valley Rehabilitation Hospital for inpatient rehabilitation. As a faculty member in Penn State s College of Information Sciences and Technology, Gerry s main focus is on network and cyber security. He has an amateur observatory and a small organic farmette. Gerry also studies martial arts and enjoys playing guitar and riding his Harley-Davidson. Gerry s wife, Sue, describes him as someone who likes to go above and beyond in life. He was determined to go to HealthSouth because he knew that he would get more therapy, Sue says. For more than three weeks, Gerry worked hard in physical and occupational therapy. At HealthSouth, three hours of therapy a day are required. In physical therapy, we worked on gaining strength and flexibility in my lower body, says Gerry. Occupational Therapy Assistant Darla Dickson adds, When Gerry came to HealthSouth, he only had the use of his right shoulder and his left hand. We focused on teaching him to use adaptive equipment so that he could dress himself. Nursing and the rehabilitation philosophy At HealthSouth, rehabilitation does not end in therapy. Nurses, many of whom are certified registered rehabilitation nurses (CRRN ), use the rehabilitation philosophy on the units and in the patient rooms. The nurses were there when I needed them, Gerry comments. But, they also encouraged me to do as much as I could on my own, Tyler Snook, licensed practical nurse, helped care for Gerry. Gerry Santoro (front, center) visits HealthSouth staff that provided rehabilitation after a motorcycle accident caused multiple injuries. Pictured front row, from left, Tyler Snook, LPN, Gerry Santoro and Physical Therapist Jenna Micsky. Back row, from left, Amy Adams, case manager, and Darla Dickson, certified occupational therapy assistant. When patients come from an acute care setting to a rehabilitation hospital, the focus changes, Tyler adds. We re getting them out of bed, and they are getting ready for breakfast, performing three hours of therapy a day. Part of our job as nurses in a rehab setting is to help keep patients motivated to reach their therapy goals. It s about getting strong enough to go home. Continued on page 4 A Higher Level of Care 550 W. College Avenue Pleasant Gap, PA Fax NittanyValleyRehab.com

2 2 QUALITY UPDATE Nittany Valley is CRRN Proud! HealthSouth is proud to have so many RNs further their education and achieve their Certified Rehabilitation Registered Nurse credential. A registered nurse with at least two years of practice in rehabilitation nursing can earn distinction as a Certified Rehabilitation Registered Nurse (CRRN ) by successfully completing an examination that validates expertise. Recognized as experts in rehabilitation, CRRN s specialize in restoring abilities often taken for granted such as motor skills, walking and personal care. In a rehabilitation hospital setting like HealthSouth Nittany Valley Rehabilitation Hospital, they help patients apply skills learned in therapy to activities of daily living, such as dressing, bathing and eating, while meeting their medical and safety needs. Rehabilitation nurses help individuals affected by chronic illness or physical disability to achieve their greatest potential, adapt to their disabilities, and work toward productive, independent lives. They take a holistic approach to meeting patients medical, vocational, educational, environmental and spiritual needs. Rehabilitation nurses begin to work with individuals and their families soon after the onset of a disabling injury or chronic illness. They continue to provide support in the form of patient and family education and to empower these individuals when they go home or return to work or school. The rehabilitation nurse often teaches patients and their caregivers how to access systems and resources. Rehabilitation nursing is a philosophy of care, not a work setting or a phase of treatment. Rehabilitation nurses base their practice on rehabilitative and restorative principles by: Managing complex medical issues Collaborating with other specialists Providing ongoing patient/caregiver education Setting goals for maximal independence Establishing plans of care to maintain optimal wellness Rehabilitation nursing and rehabilitation/restoration principles are more important to the healthcare system than ever before. The rehabilitation nursing specialist has measurable, functional outcome goals for patients, which rehabilitation nurses use in planning and evaluating the effectiveness of patient care. Rehabilitation nurses have excellent functional assessment skills and take a comprehensive approach to care. They act as multisystem integrators and team leaders, working with physicians, therapists and others to solve problems and promote patients maximal independence. Rehabilitation nurses are particularly skilled at working with others to adapt ongoing care to the resources available. Rehabilitation nurses act not only as caregivers but also as coordinators, collaborators, counselors and case managers. The Association of Rehabilitation Nurses (ARN) special interest groups have developed role descriptions to educate employers, patients and others about the various roles of rehabilitation nurses and the skills they bring to all settings across the continuum of care. Role descriptions are available on the ARN website, or by calling The ARN is the membership organization for professional nurses actively engaged in or concerned with the practice of rehabilitation nursing. ARN works to advance rehabilitation nursing practices through education, advocacy, collaboration, and research to enhance the quality of life for those affected by physical disability or chronic illness W. Lake Avenue Glenview, IL Source: Association of Rehabilitation Nurses

3 3 Direct Admit Quick Reference Card 550 W. College Ave., Pleasant Gap, PA Fax hour access after hours or weekends Direct Admit Conditions Amputation, new and old Brain injury CVA, new or late effects Emphysema/COPD Frequent falls Multiple sclerosis Osteoarthritis Parkinson s Pelvic fracture Polymyalgia rheumatica Postherpetic polyneuropathies Post polio Pulmonary disorders Recent trauma, illness or surgery Rheumatoid arthritis Spodylolisthesis Step-by-Step Admission Instructions MONDAY FRIDAY 8:00 A.M. 5:00 P.M. Step one: Your staff identifies a new patient to be unsafe in home or have a declining condition related to chronic conditions. Step two: Your staff member contacts HealthSouth Nittany Valley Rehabilitation Hospital and speaks to the admissions department at Step four: If clinically appropriate, insurance is verified and pre-certification is completed. HealthSouth notifies your staff of acceptance of patient. Step five: Transportation is usually provided by family or a wheelchair van service. MONDAY FRIDAY AFTER 5:00 P.M. AND WEEKENDS Step one: Your staff identifies a new patient to be unsafe in home or have a declining condition related to chronic conditions. Step two: Your staff contacts HealthSouth Nittany Valley Rehabilitation Hospital at or and speaks to the receptionist, who then gives the caller the phone number of the liaison on call. Step three: HealthSouth liaison completes a preadmission screening to determine appropriateness of admission and obtains physician approval. Step four: If clinically appropriate and insurance can be pre-certified, HealthSouth Nittany Valley Rehabilitation Hospital notifies your staff of acceptance of patient. Step five: Transportation is usually provided by family or a wheelchair van service. Please fax all evaluations and clinical information to Step three: A HealthSouth liaison completes a pre-admission screening to determine appropriateness of admission and obtains physician approval.

4 4 HEALTHSOUTH SUPPORT GROUP MEETING GUIDE HealthSouth Nittany Valley Rehabilitation Hospital 550 W. College Ave., Pleasant Gap or AMPUTEE SUPPORT TEAM Contact: Katie Donovan, PT Time: Meeting schedule TBA BETTER BREATHERS SUPPORT GROUP Contact: James Williamson, RT, respiratory manager Time: Third Thursday of every month, 2:00 p.m. Affiliated with the American Lung Association BRAIN INJURY SUPPORT GROUP Contact: Sharon Poorman, CRRN, nurse manager Time: Second Tuesday of every month (except January and February), 7:00 p.m. HEART FAILURE SUPPORT GROUP Contact: Tracy Curtorillo, CRRN, nurse manager Time: Fourth Monday of every month, 4:00 p.m. MULTIPLE SCLEROSIS SUPPORT GROUP Contact: Steve Uberti, PTA Time: Third Tuesday of every month, 6:00 p.m. Outpatient entrance Affiliated with the National Multiple Sclerosis Society, Harrisburg Office STROKE SUPPORT GROUP Contact: Caroline Salva-Romero, M.A., CCC-SLP-L, speech therapy manager Linda Meyer, M.S., CCC-SLP-L, Speech-Language Pathologist Time: Last Tuesday of every month (except August and December), 4:00 p.m. Lewistown Hospital STROKE SUPPORT GROUP Contact: Barb Angelo, rehabilitation liaison Time: Second Monday of January, April, July, October, 5:30 p.m. Classroom 4 Team Effort, continued from page 1 Humor, Support and Encouragement This was the most traumatic ordeal of my life and yet the people were kind, understanding, optimistic and supportive, says Gerry. My way of dealing with things is to try to laugh about them. The HealthSouth nurses and therapists laughed with me, and made me really believe that I would get through the pain and begin my road to recovery. Dr. Allatt, medical director, was a great guy with a gentle manner, who never hesitated to answer my questions. A father, grandfather and devoted family man, Gerry credits his wife Sue for being his angel, so wonderful and strong throughout the whole experience. Admittedly, it was scary as heck, Gerry says. Dealing with the pain, working to get stronger my family and HealthSouth got me through it. Gerry s accident happened one week before a vacation. Gerry explains, Sue and I planned to ride our motorcycles together down the east coast to the Keys, and then back up the Gulf coast, and through the mountains. It was going to be a month of relaxation. Those plans are now on hold as the couple takes things one day at a time. Gerry s case manager arranged for a home health agency to continue physical and occupational therapy at home. He looks forward to walking again. As for the future, Gerry will teach three courses at Penn State this fall. He and Sue plan to ride again. CONGRATULATIONS TO HEALTHSOUTH NITTANY VALLEY CRRN S: Cindy Angelone Jessica Coudriet Mary Cronin Traci Curtorillo Susan Dabby Wendy Durec Kathy Eminhizer Kathy Marino Crystal McCaleb Barb Myers Sharon Poorman Dawn Richardson Brenda Ryder Hema Singh Deb Smoyer Doreen Snyder Karen Ungar Buddie VanHart Ron Yeich

5 5 TIME LOSS = BRAIN LOSS STROKE EDUCATION EVENT In honor of National Stroke Awareness Month, Mount Nittany Health and HealthSouth Nittany Valley Rehabilitation Hospital partnered to bring, Time Loss = Brain Loss: How to recognize and act on signs of a stroke quickly to the community. More than 200 people filled the Mount Nittany Health auditorium on May 21 to attend this free, educational event. Pete Roy, MD, neurologist, Mount Nittany Physician Group, presented information about stroke risk factors, how to recognized signs of a stroke, and treatment. Attendees also had a demonstration of Mount Nittany Health s Telestroke technology, which allows physicians at Mount Nittany to communicate in real time with the Penn State Milton S. Hershey Medical Center in Hershey, Pa. HealthSouth therapists demonstrated and discussed the hospital s unique rehabilitation technology available to help stroke patients in physical, occupational and speech therapy. RECRUITMENT CORNER Join Our Expanding Team HealthSouth has experienced a surge in patient census over the past year requiring us to add staff in several key areas to maintain a consistent higher capacity. Please share this recruitment corner information with friends and business partners who may have the skill set we are looking for to fill one of our additional positions. Full-time and per diem registered nurse and rehabilitation nursing technician Full-time rehabilitation therapy technician Weekend nursing supervisor Nursing staffing coordinator Inpatient certified occupational therapy assistant (COTA) Per diem pharmacist, COTA, PTA, PT, OT Per diem unit secretary TAKE A TOUR OF OUR HOSPITAL FROM HOME Visit NittanyValleyRehab.com and click on the Tour link under Our Hospital for a virtual tour. Pictured from left: Susan Hartman, CEO, HealthSouth Nittany Valley; Richard Allatt, MD, FRCPC, Medical Director, HealthSouth Nittany Valley; Pete Roy, MD, Neurologist, Mount Nittany Physician Group; and Sheila Moscone, RN, progressive care unit, Mount Nittany Medical Center. Don t Stop There Explore! With patient stories, newsletters, events and support group information updated regularly, there s always something new!

6 6 OUTPATIENT THERAPISTS The HealthSouth outpatient clinics offer a vast array of specialized programs and services delivered by our highly skilled therapists to include amputee, arthritis, balance, brain injury, cognitive function, foot and ankle injury, functional capacity evaluations, hand rehabilitation, industrial rehabilitation, neurological conditions, orthopedic conditions, pain, pulmonary diagnoses rehabilitation, spinal cord injuries, sports injuries, stroke, swallowing difficulties, voice disorders and work injuries. The Pleasant Gap Outpatient Clinic, which is connected to HealthSouth s Inpatient Rehabilitation Hospital, offers physical, occupational and speech therapy. Highlighted services include Bioness, driving screens, Interactive Metronome, lymphedema, oncology rehabilitation, Parkinson s disease, post-concussion treatment and VitalStim. Front Row From Left to Right: Becky Green-Dixon, SLP; Denise McDonald, SLP; Joanna Buergin, PT; Back Row from left: Lori Bubb, PTA; Amanda McNitt, secretary; Deb Marks-Mohr, OP business development; David Boone, OTR/ site coordinator; Dalonnie Sherlock, PTA The Mifflintown Outpatient Clinic offers physical and occupational therapy. Highlighted services include driving screens, kinesiotaping, McKenzie-based treatment and Wii exercises. From left to right: Carol Muthler, secretary; Tracy Everhart, OTR/L outpatient therapy manager; Susan Warren, PT; Caroline Salva-Romero, MA, CCC/SLPL; Kristen Caldwell, PTA; Deb Mohr, coordinator of OP business development; Sharon Rose, PT Three Decades of Getting Patients Back Home Ask for Nittany Valley s Stroke Rehabilitation Program. Top 10 Clinical Ranking Among All HealthSouth Hospitals 550 west college ave. PleasanT GaP, Pa NittanyValleyRehab.com 2013:HealthSouth Corporation: From left to right: Rebecca Rhine, PT; Amy Lawson, PTA; Krista Varner, OTR/L; Kelly Frankhouser, secretary; James Weaver, PTA

7 7 NITTANY VALLEY CELEBRATES NATIONAL STROKE MONTH WITH STROKE SURVIVORS HealthSouth Nittany Valley s Annual Stroke Recovery Picnic brought together stroke survivors, their families and hospital staff in the hospital s gardens on a sunny day in June. Many stroke survivors and their families come year after year to reminisce with staff, share with other stroke survivors and celebrate their recovery. Nittany Valley also holds a monthly support group, open to the public, for stroke survivors and their families. Earlier this year, the hospital partnered with the community s acute care medical center to present a community education session called, Time Loss = Brain Loss: How to Respond to Signs of a Stroke Quickly. Nittany Valley is proud to have The Joint Commission s Gold Seal of Approval for Disease-Specific Care Certification in Stroke Rehabilitation. Thank you to Houck Home Care for the generous donation of multiple flower baskets for the annual picnic raffle! Nittany Valley celebrated Nurses Week 2013 with a variety of activities, including treats to pamper nurses throughout the week. Gift Day, Chocolate Day, Snack and Desserts Day and Cake and Ice Cream Day gave the nurses something to look forward to all week. The highlight was the mid-week celebration, Blessing of the Hands, to honor our extraordinary nurses who exemplify the spirit of compassionate care at Nittany Valley. The ceremony included a local pastor who offered two blessings: Nurses Hands and Prayer of St. Francis for the nurses who attended. CNO Sue Evans reflected on the week s events. We celebrated the dedication and devotion to high standards that our nurses bring to work each day, Evans says. And we are grateful they are part of our team at Nittany Valley. The week concluded with a surprise video for the nurses. The senior staff answered questions about our nurses, including why they are special, and why we appreciate them so much, says Evans. It was the perfect way to wrap up a week of gratitude for these wonderful, caring professionals.

8 8 HEALTHSOUTH NITTANY VALLEY CEO NAMED TO BOARD OF NEWLY FORMED STATE ASSOCIATION HealthSouth Nittany Valley Rehabilitation Hospital CEO Susan Hartman was named to serve on the board of directors of the Rehabilitation and Community Providers Association (RCPA), a new association that will be among the largest state health and human services trade groups in the nation. This really is a landmark moment for the provider community, said RCPA President and CEO Richard Edley, Ph.D. We re really fortunate to have someone with Susan Hartman s skills and experience to help guide us as we head into this new era of service and advocacy. Hartman joined HealthSouth in 1994 and has worked in rehabilitation since Prior to her current position, she held regional responsibilities for HealthSouth in business development. Hartman is also the chair of the Medical Division Committee for RCPA and a member of the Hospital Association of Pennsylvania (HAP). She holds a bachelor s degree from Elizabethtown College and a master s degree from Johns Hopkins University. Hartman also serves on the board of directors of Centre Volunteers in Medicine. As a single entity, RCPA will continue the associations joint missions to enhance advocacy, education, project support, public information and policy development for the benefit of individuals with mental health and intellectual disabilities, addictive diseases and rehabilitation needs, and expand networking and training for association members. Founded in 1972, PCPA is a statewide association that promotes a community-based, responsive and viable system of agencies providing quality services for individuals receiving mental health, intellectual disability, addictive disease and other related human services. PCPA represents more than 225 community-based agencies that provide mental health, intellectual and developmental disability, and substance use disorder services for children and adults. Members operate in all 67 counties and serve more than 1 million Pennsylvanians per year. Since 1969, PARF has been actively working to improve the availability, accessibility and quality of rehabilitation services for individuals with disabilities. With more than 90 members in Pennsylvania, PARF s facilities serve individuals with physical, mental, social and/or emotional disabilities. PARF members offer services and programs that include medical, psychological, social, residential, educational, vocational and employment rehabilitation. For more information about the groups, visit A merger between the Pennsylvania Association of Rehabilitation Facilities (PARF) and the Pennsylvania Community Providers Association (PCPA) created RCPA. Members of the two organizations met separately and voted unanimously to approve the merger, which takes effect July 1. The two associations, which share a long history of cooperation and partnerships, began exploring the merger in 2009.

9 9 TRANSITIONAL CARE FAIR: PARTNERING FOR PATIENTS AND FAMILIES We held our first Transitional Care Fair in July. Seventeen of our community healthcare partners came to HealthSouth to share information about their programs and services that help our patients return home. The goal of this event was for our staff to gain a better understanding of the resources available in the community to support 24-hour care to patients and families upon discharge. According to CEO Susan Hartman, the event was a success. This was a great opportunity for us to reach out into the community and to see what else is available to our patients as they make the transition home, Hartman commented. Eighty employees attended the event to learn more about the resources available in our community, both for our patients and families and for their own families. Guests of the event also appreciated networking with one another about how their services can connect to help patients as they return home. Feedback from HealthSouth staff and our guests was very positive; we ll be making this an annual event! HEART WALK INVITATION Join our Heart Walk team! Cardiovascular disease is the #1 killer of all Americans. According to the American Heart Association, someone dies from CVD every 35 seconds. Heart disease kills more women than all forms of cancer combined, and congenital cardiovascular defects are the most common cause of infant death from birth defects. You can help; walk with us! The American Heart Association Heart Walk Sunday, Sept. 29 Noon - Registration 1:00 p.m. - Heart Walk Begins Millbrook Marsh Nature Center 548 Puddintown Road, College Township NursiNg Job Fair Monday, sept p.m. saturday, sept a.m. 1 p.m. Benefits on day of hire CRRN credentialing bonus plan Educational assistance Evidence-based practice Individually tailored orientation Professional development Shared governance model Tuition reimbursement Call to learn more about our nursing program. Tours Resume Reviews Onsite Interviews 2013:HealthSouth Corporation: EOE A Higher Level of Care 550 West College Avenue Pleasant Gap, PA NittanyValleyRehab.com Committed to Providing Better Outcomes for Our Employees

10 10 FUN FACTS FOR SNACKS 1) What doe CRRN stand for? a. Complete Rehabilitation Registered Nurse b. Certificate Recognition Registered Nurse c. Certified Rehabilitation Registered Nurse 2) What type of approach do CRRN s take to meet a patient s medical, vocational, environmental and spiritual needs? a. Personal b. Mental c. Productive d. Holistic 3) Rehabilitation nurses base their practice on rehabilitative and restorative principles by: Make your OUTPATIENT THERAPY appointment at HealthSouth. Our physical, occupational and speech therapy staff will design a program to meet your specific needs. These specialized programs include, but are not limited to: Amputee Aquatics Arthritis Back care Balance/vestibular Brain injury Cancer rehabilitation Cognitive function Foot/ankle injury Functional Capacity Evaluations General reconditioning Lewistown 105 First Avenue Burnham, PA (717) Fax: (717) A Higher Level of Care Outpatient Clinics Mifflintown 27 CJEMS Lane, Suite 1 Mifflintown, PA (717) Fax: (717) NittanyValleyRehab.com Hand rehabilitation Lymphedema Neurological conditions Orthopedic conditions Pain Pulmonary diagnoses Spinal cord injury Sports injuries Stroke Swallowing difficulties Work Injuries Pleasant Gap 550 West College Avenue Pleasant Gap, PA (814) Fax: (814) ) Rehabilitation nurses act not only as caregivers, but also as: a. Coordinators b. Collaborators c. Counselors d. Case Managers e. All of the Above Submitted by: Phone number: (Will be used to notify winners)

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