1 Admissions Upon referral to the program the physiatrist evaluates each patient prior to admission. Patients must be medically stable and physically able to benefit from an extensive therapy program that will include at least three hours of therapy a day. The KRMC Inpatient Rehabilitation program is designed to meet the individual needs of each patient. We will work with patients and families to maximize functional independence and plan for a successful discharge to home and community. The Commission on Accreditation of Rehabilitation Facilities (CARF) accredits this program. Medicare, Medicaid and most private insurance companies provide an inpatient benefit. The social worker will communicate with the insurance provider prior to the patient being admitted to the unit. A list of things to bring During a stay, patients will wear street clothing. We recommend loose-fitting, comfortable clothes as patients will be involved in different activities throughout the day. Suggested items include: slacks (jogging outfits if available), blouses, shirts, sweaters, robes, slippers, flat-soled shoes, jackets, gloves, and hats as needed. Patients will also need a selection of underclothing and toiletries. Families should provide enough clothing for three days. Clothing should be labeled for easy identification. The nursing staff will wash laundry each evening as needed. We also encourage patients to bring personal belongings such as cards, flowers and pictures to make the room more comfortable. If patients bring electrical appliances (razor, hair dryer, tape player), they will need to be checked by our clinical engineers for safety before use.
2 Rehab Program Therapy Schedule: Patients will have a regular daily therapy schedule Monday though Saturday. Therapy generally occurs between 7 a.m. and 5 p.m. Patients will have a minimum of three hours of therapy each day involving two or more therapy disciplines, depending on the patient s needs. Schedules will be posted on the main schedule board located in the patient dining area. Groups: Therapy will be provided both individually and in patient groups as appropriate. Group therapy gives patients an opportunity to work on skills in a social setting, and adds a measure of fun to therapy sessions. Alternative Resources: Therapy services can be provided at a lower level of intensity on both an inpatient and outpatient basis. Ask the social worker for further information about these services. Since KRMC cannot be responsible for personal items, we strongly encourage patients to leave all valuable items at home. Arrangements can be made through the nurses. Kalispell Regional Medical Center Inpatient Rehabilitation Unit recognizes our ethical responsibilities to patients, families, caregivers and the community that we serve. Each patient will be treated with dignity and respect. We provide quality care to all persons entitled to services without discrimination. As part of this commitment, we want to ensure that a stay with us is a positive experience. If we fail to meet expectations, please let us know how we can better serve you or your family member. We welcome your feedback and encourage you to complete a Patient Satisfaction Survey provided at discharge.
3 Passes Patients may be allowed to have outings form the Inpatient Rehabilitation Unit. These short outings are called passes, and they allow patients and families to practice newly learned skills before a patient is discharged. Pass Categories Campus Pass: Patients may travel around the hospital campus including the cafeteria with a family member or designated caregiver. Car Pass: Patients, with a physician's approval, may leave the Rehabilitation Unit with family or caregiver after scheduled therapy sessions. Day Pass: Patients, with a physician's approval, may leave the Rehabilitation Unit with family or designated caregiver for any part of a Sunday, holiday or evening. The team must be informed where patients will go on the pass so appropriate prior training can occur. Training The patient s treatment team will provide intensive training for patients and families in preparation for passes and eventual discharge. Home Evaluations A member of the treatment team may need to visit a patient s home to make recommendations (furniture, bathroom set-up, door widths, ramps, etc.) to improve your home safety and accessibility.
4 Other Policies Visiting Hours Free time during the day will be limited by the patient s therapy schedule. We encourage visitors to come after therapy hours, from 4:30 to 10:00 p.m. Monday through Saturday, and from 8:30 a.m. to 10:00 p.m. Sundays and holidays. We may ask family members or caregivers to attend therapy sessions. Unless otherwise indicated by the therapy team members, visitors will not be allowed in the treatment area. Smoking Policy Kalispell Regional Medical Center is a non-smoking facility. If patients do smoke, our staff will offer smoking cessation education and support. Telephone Each patient has a phone for his or her own use. For local calls, dial 9 and wait for a dial tone Long distance calls must be made collect or charged to a calling card The KRMC main number is The Inpatient Rehabilitation Unit Nursing number is TDD phones, interpreters and communication aids are available. Please ask one of the nurses for assistance. Drugs and Alcohol Alcoholic beverages are not permitted in the Rehabilitation Unit unless prescribed by a physician. continued The use of illegal drugs is strictly prohibited in any area of Kalispell Regional Medical Center. Valuables Since KRMC cannot be responsible for personal items, we strongly encourage patients to leave all valuable items at home. Arrangements can be made through the nurses. Our Responsibility to You Kalispell Regional Medical Center Inpatient Rehabilitation Unit recognizes our ethical responsibilities to patients, families, caregivers and the community that we serve. Each patient will be treated with dignity and respect. We provide quality care to all persons entitled to services without discrimination. As part of this commitment, we want to ensure that a stay with us is a positive experience. If we fail to meet expectations, please let us know how we can better serve you or your family member. We welcome your feedback and encourage you to complete a Patient Satisfaction Survey provided at discharge.
5 Conferencing The program uses a variety of conferences to communicate a patient s progress during the stay. Weekly Team Conference: Team members will meet weekly with the physiatrist to discuss patient progress, set goals, and plan for eventual discharge. The patient s social worker will update patients and families on the results of the meeting each week. Weekly Team Rounds: Each Thursday morning between 7:30 and 9:00 a.m., the team, the physiatrist and the patient will meet. During this time, the physiatrist will ask the patient and therapists to demonstrate current progress. This will also be a time for patients to ask the treatment team any questions. Admit / Discharge Family Conferences: Within a few days of admission, families, caregivers and patients will meet with the nursing staff, therapists and social worker to discuss the team s evaluation and treatment goals. Prior to discharge, another meeting will be held to discuss the patient s progress, identify any additional equipment needs, and set up any additional services such as home health or outpatient therapy.
6 Discharge KRMC Inpatient Rehabilitation Unit Discharge Destination for Major Diagnoses Served Discharge from the Rehabilitation Unit Discharge planning begins as soon as the patient is admitted to Kalispell Regional Medical Center Rehabilitation Unit. Being able to anticipate discharge helps the entire team to coordinate your care. It also allows the rehabilition specialists to help patients and families develop essential skills for a successful transition home. Discharge occurs 1. When patients can function independently at home. 2. When a patient is no longer making measurable improvement. 2. When services can be provided in a more costeffective setting. Before a patient is discharged, any special equipment needed will be ordered from the durable equipment company of the family s choice. Follow-up therapy services may be recommended through a home health or outpatient facility depending on patients individual needs. continued Diagnosis Home Other* Stroke 83% 17% Brain Injury 88% 12% Neurological 84% 16% Spinal Cord Injury 88% 12% Cardiac 85% 15% Orthopedic 82% 18% Multiple Trauma 80% 20% * Transitional care, long-term care (Transitional care can include temporary nursing home placement, special residential care placement, or admission to an acute care hospital. Long-term care is long term nursing home placement.)
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