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1 2011 Welcome to the Nova Scotia Rehabilitation Centre...

2 Welcome to the Nova Scotia Rehabilitation Centre Our team is committed to the special care of people who need rehabilitation and we want your experience here to be a positive one. Our goal is to return every patient to a life that is as full and rewarding as possible. This pamphlet explains the rehabilitation approach and will give you some general information about your care. If you have any questions please ask a staff member for help or information. Finer details about specific programs like stroke, brain injured and amputees can be found on the hospital website at: Capital Health A-Z. Nova Scotia Rehabilitation Centre 1341 Summer Street, Halifax, NS B3H 3N5 1

3 Table of Contents Focus on Ability...3 The Team Approach...3 Working Together...8 Your Stay at the Rehabilitation Centre...8 Information collection...8 Consent...8 Advanced Directive...8 Interpreters...9 Personal information...9 Security and safety...9 Identification (ID) Bracelet...9 Medicine safety...9 Hand cleaning...9 Smoking and Scents...10 Rest and Sleep...10 Alcohol and recreational drugs are not allowed in the Rehab Centre...10 Fire Drills...10 Money and Valuables...10 Going home...10 Passes...11 General Information...12 Clothing...12 Room Types...12 Room Temperature...12 Call System...12 Food Services...12 Cafeteria...13 Entrance to Rehab...13 Tunnel to the Victoria General...13 Recreation...13 Mail - Incoming and Outgoing...14 Newspapers...14 Parking...14 Personal Equipment...14 Phones...15 TVs/Audio Equipment...15 Internet...19 Vending...15 Support the Nova Scotia Rehabilitation Centre

4 Focus on Ability Rehabilitation is a process that looks at each patient s needs, abilities and unique potential. It begins with a careful review of each patient s medical and rehabilitation needs. A doctor with special training in rehabilitation (Physiatrist) and a Rehabilitation Assessor may visit you during your hospital stay to decide if our services are right for you. The Team Approach Your treatment plan and goals are made by you and the Rehabilitation Team. You and your family are key members of the Team. Health care team members Name & telephone numbers Clinical Nurse Leader Social Worker Physiotherapist Occupational Therapist Doctor Specialists(s) Nurse(s) Recreation Therapist Patient Representative Manager of your unit You are an important member of the Rehabilitation Team. We will work together to reach your goals and make your time with us a positive one. 3

5 Clinical Nurse Educator This nurse provides education and supports your nurses and team members so that you will get the best care that we can offer. He and/or she promotes quality patient care. Dietitian and Dietetic Technician They work together to make sure you are following a healthy diet during your time with us. The Dietetic Technician will visit during your first few days in hospital to ask about food allergies and your food likes and dislikes. They will meet to come up with a diet plan just for you! The dietician will look at your nutritional needs and help you learn about and plan a healthy diet for when you go home. Hospitalist This is a family doctor who has extra training working with those who have long term health problems and disabilities. The day-to-day medical needs that you may have during your stay may be managed by the Hospitalist. The Physiatrist will be called for any specific rehabilitation needs that you may have. The Hospitalist also works closely with your Team to design and direct the best treatment plan for you. Nurses The Rehabilitation Nurses work with the Doctor, the Nurse Practitioner and you to manage your medical condition as it relates to your illness or physical disability. The nurses will work with the team, you and your family to assist you to set your goals, find ways for you to do as much as you can on your own, help you to work on your goals, teach family or caregiver to help you when needed, assist you to set up services you may need when you go home and teach you, your family or caregivers about your medication. Nurse Practitioner The Nurse Practitioner (NP) is a Registered Nurse who has further training. The NP has added skills to help manage your illness in more depth and is able to order medicines that you might need. 4

6 Occupational Therapist Occupational Therapists work with you and your family to help you set goals for personal care, work and leisure. They will help you to find ways to change your surroundings at home and work so you can take part in your activities of daily living. Occupational Therapist Assistant The assistant works under the direction of the occupational therapist. Once your personal goals are set by the occupational therapist the assistant will help you work on these activities. Orthotist The Orthotist will select or make a brace, shoe, or insole if you need one. Patient Support Worker (PSW) The PSW helps with activities of daily living like bathing, dressing and eating your meals. They work under the direction of an RN or LPN. Physiatrist The Physiatrist is the medical doctor on your Team who has special training in Physical Medicine and Rehabilitation. This doctor will oversee your care and work closely with the entire team to design and direct a treatment plan, which will be most helpful to you. 5

7 Physiotherapist The Physiotherapist will work with you and your family to build a treatment program to improve your physical mobility, how much your can do for yourself and your overall fitness, health and well-being. Physiotherapist Assistant A Physiotherapy assistant works under the direction of the physiotherapist. The assistant will help work on the goals set to improve your fitness, strength and mobility. Prosthetist The Prosthetist will make and fit an artificial arm or leg to fit your needs. Psychologist/Neuropsychologist The Psychologist can help you understand and deal with emotional stresses. They can help you learn how to live with the changes you have been through. A Neuropsychologist can work with you, your family and the team to help everyone understand how changes in your brain affect you. This may involve testing for skills like attention, thinking, learning, memory and language. Your Psychologist may provide treatments such as cognitive [learning and thinking] rehabilitation, behaviour therapy, counselling and psychotherapy. Recreation Therapist Recreation Therapists will help meet your leisure [spare time] and recreational needs. They will talk with you and your family about your hobbies and interests and help you find ways to continue old interests or find new ones that you can enjoy for years to come. Social Worker The Social Worker can help you and your family to cope with life changes and the stress that can come with an accident, illness, or disability. They can help you learn new ways to adjust to crisis or grief. The Social Worker can work with the rest of the team to help you and your family find the services that you will need during your stay with us and after you go home. 6

8 Speech Language Therapist A Speech Language Therapist may work with you and your family to improve how you talk or express yourself. They also work closely with the Dietitian to help find ways to make swallowing easier and safer if you are having trouble in this area. Spiritual Care A chaplain or spiritual leader can visit to provide a listening ear and talk about any spiritual or religious concerns that you or you family might have. Prayer and sacraments are provided upon request. Support Staff You will also meet Housekeeping staff and Unit Aids that support you and the team to make sure your area is clean, comfortable, and safe. Therapeutic Assistants Therapeutic Assistants work with you and your clinical team to support your rehab program. They work under the direction of the Recreation Therapists. Unit Clerk The unit clerk will admit you to the rehabilitation centre. They also arrange your appointments and test during your stay with us. Vocational Counsellor This team member works with those who are having problems with returning to work because of physical and/or cognitive troubles. Your education, talents and skills will be reviewed to help decide if going back to work or school should be considered. A plan will be made to help you if this is the right thing for you. Further education to begin a new career can also be explored. 7

9 Working Together A commitment from you and your family is very important to the rehabilitation process. Our goal is to help you get to a point where you can do as much as you can on your own as possible. For this reason, we ask you to do as much as you can for yourself and practice what you have learned in your therapies. Team members will teach you skills in self care, mobility, transfers, community living, and other activities of daily living. We also want your family to be involved in your rehabilitation and will encourage them to allow you to practice these skills. We suggest you to take weekend passes whenever you can. This will give you time to practice your new skills in your home and community. Family meetings may be arranged to talk about goals, progress, plans for going home and any questions you and your family may have. Your Stay at the Rehabilitation Centre Information collection Your health care providers will ask many questions about your health. To give the best care we need to ask details about your past and current conditions, what kind of medicine you may be taking, and if you have any food or drug allergies. Please feel free to ask questions if you don t understand something or you are not sure about what was said. We want you to know all about your condition and treatment. Consent You may be asked for consent [permit or agree] before you have tests or procedures. Before you decide, make sure that all the details have been explained to your satisfaction. If you are unsure or do not understand something, ask questions. You have the right to refuse treatment but we suggest you talk to your doctor about it first. You will have chances to take part in educational activities which may include the use of a camera or videotaping. You will be asked to sign a consent form first. Personal Directive This is a written legal record of your wishes as they relate to your health and personal care now and in the future. Some may call this their living will. If you have such a paper, please share it with your family and give a copy for your health care team. If you would like to learn about Personal Directives, ask your nurse for a patient pamphlet. 8

10 Interpreters Spoken Language interpreters can be provided to make sure that everyone understands each other and no important details about your care are missed. Help with most languages, including sign Language (ASL), can be arranged. Simply tell one of your health care providers that this is something you and your family want. For more details, check the Capital Health Click on the heading Services and then Interpreter Services. Personal information Capital Health respects your privacy and follows the Nova Scotia privacy laws. Please let us know when you are admitted or tell your nurse if you do not want people to know you are in the hospital or you have specific wishes. Security and safety Identification (ID) Bracelet There will be many people involved in caring for you. Please keep your ID bracelet on at all times during your stay with us. This bracelet helps staff to correctly identify their patients and makes sure that the right care is given to the right person. Medicine safety When you come to the Rehab, remember to bring all your medications in their original labeled bottles. Please make a list of your medicines, the pharmacies and phone numbers where you get them filled. The medicine we give you in hospital may look different from what you take at home. If you have any questions about your medicines, ask your health care provider. Bring a list of your current medicines, including drugs your doctor didn t order and herbal products if coming from home. One of the goals during your rehab stay may be to learn how to take your own medicines. The nurse will work with you through a self medication program to make sure you can do this task safely. Hand cleaning Good hand washing can protect you and others from picking up germs while in hospital. It is very important that you clean your hands often and well. Wash your hands after using the washroom and before eating. Alcohol hand rinse dispensers can be found in many spots on each unit. You can also ask caregivers if they have cleaned their hands before providing you with care. 9

11 Smoking and Scents Capital Health is a smoke-free hospital. If you smoke and want to quit, ask about how to get involved in our Stop Smoking programs and products while you are here. Do not wear perfume, cologne or aftershave while you are a patient at Capital Health. Try to remind visitors to avoid wearing these products or bringing flowers in with strong scents. Some people are very allergic to these products, and can have severe reactions. Rest and Sleep It is important that you get enough rest so you can take part fully in all therapy sessions. If you need help in getting ready for bed, we ask that you are in bed by 9:30 PM. Alcohol and recreational drugs are not allowed in the Rehab Centre Use of alcohol or drugs not ordered by your doctor can change or harm the outcome of your treatment. Anyone using alcohol or drugs on the property will be sent home right away. Fire Drills can happen anytime to keep staff trained in fire safety. Alarm chimes and the public address system will let you know when a drill is going on. Elevators and stairs must not be used during fire drills. Please stay where you are and wait for staff to tell you what to do. Money and valuables All valuables should be left at home. Please keep only enough money for day-to-day use. The Rehab Centre is not to blame for loss or theft of valuables. Going home Planning for your return home begins on or before you are admitted to the Nova Scotia Rehabilitation Centre. This important process involves you, your family and the Team. Family meetings may be arranged to talk about your progress and plans for going home. Team members will help you find services in your community that can help you continue your progress once you get home. 10

12 Passes As part of your recovery and rehabilitation, it is important that you have several chances to practice what you learn at the rehabilitation centre in your home setting. This is done by taking evening and weekend passes when your medical condition allows this. Your Family is invited to take part in training by staff to learn how to help you to use your skills and continue to improve at home. They will learn how to help with mobility, safety, and tasks like getting in and out of a car/bathtub/wheelchair and how to transport a wheelchair. Trying these things out on evening and weekend passes are a great way to find ways to solve any problems that may come up before you leave Rehab. Your team will help you get ready for your passes and make sure that you have all the medicines and supplies that you will need while you are away. Remember to tell the nurse in charge of your unit and sign the Rehab Centre s Release from Responsibility form before you leave on each pass. There is an independent living apartment on the 1 st floor, within occupational therapy. This is often used by families who live a distance away or need the staff to be nearby for the first pass. The apartment can be used by all patients. We invite you to use it during the day or for a weekend trial to practice life skills and build on the things you can do on your own. Talk to your OT or nurse if you wish to use the independent living apartment. Weekend passes are usually from the end of your therapy sessions on Friday until 8:00 pm Sunday evening. Evening passes are until 10:00 pm. If you need assistance with getting ready for bed, please return by 8:00 pm. Please use the University Street parking lot entrance when you return. The front doors on Summer Street are locked on weekends and from 5:00 pm until 7:00 am on weekdays. 11

13 General Information Admissions [check-in] to the Rehab Centre most often happen before 1:00 pm. Discharges [check-out] are planned to happen by 11:00 am. Please let your nurse know your travel plans at least one day before you go home. This will let us confirm which beds are free and better plan for the arrival of new patients in the afternoon. Clothing Please bring comfortable clothing, sturdy, nonskid shoes and slippers, and personal care items like deodorant, toothbrush, toothpaste and shaving gear. Bring 3-4 changes of clothes and sleepwear with you. Your family will be asked to take your clothes home to wash. Room Types The Nova Scotia Medical Services Insurance Plan (MSI) will pay for hospital care at a standard ward level if you have lived in the province for at least 3 months. Non-residents are covered according to the insurance plan provided by their home province. Semi-private and private rooms have an extra cost. We ask you to check with your insurance company to find out if the cost is covered. Different insurance companies will provide different coverage. Every effort will be made to let you stay in an insurance covered, private or semi-private room. Keep in mind that we may need to move you if another patient needs the room for medical reasons. Room Temperature The temperature in the building is centrally controlled. To keep a constant temperature, all windows must be closed and air vents free of covers and clutter. Call System The call system is found on your bed rail or customized to your ability. The nurse who answers your call may use intercoms near the head of each bed to answer you, or will come to your room. Food Services You will receive several days menus so you can make your choices for the next few days. The menu offers items that fit your diet. Only the menu items you underline will be sent. Between meal snacks will be sent as needed. If you plan to be away for a meal, or if a meal is needed 12

14 when you return from a weekend pass, please tell the nurse by 9:00 am on the day you are leaving on pass. Cafeteria Through a partnership with Capital Health and the Nova Scotia Rehabilitation Centre Site and with funding from the Department of Community Services, the Abilities Foundation of Nova Scotia operates New Leaf Café on the 1st floor of the Nova Scotia Rehabilitation Centre. The Café is open Monday - Friday from 7:30 am - 2:30 pm. This program gives clients with disabilities the chance to work on their skills in a safe setting as they get ready to return to life in their community. Entrance to Rehab For your security the Summer St entrance is locked from 5:00 pm until 7:00 am on weekdays and all weekend long. The University Street entrance to Rehab is monitored by security around the clock and locked at night. This is the only entrance that is open after 5:00 pm and during the weekend. Tunnel to the Victoria General There is a tunnel in the basement that takes you to the Victoria General (VG) site. The tunnel doors are open at 7:00 am and closed at 5:00pm daily. After hours, your family members may only use the tunnel to rehab if they are with you. There is an intercom near the tunnel entrance to rehab so you can speak to security. The VG has more services that you may need like bank machine, gift shop, patient representative, and cafeteria. Recreation Recreation Therapy is on the 4 th floor. Regular scheduled activities and social events are offered. You may wish to check on the many things offered like computers, pool table, outdoor terrace, movies and music. A newspaper is provided daily and is to be shared by all. There are bus trips to community events and activities. Please check the monthly schedule of events. Your family members and friends are welcome to take part with you in all activities. Unless stated, all programs are free of charge. 13

15 Mail Incoming Mail Your address at the Rehabilitation Centre is: Your Name. Your Room Number and Floor. Nova Scotia Rehabilitation Centre 1341 Summer Street Halifax, Nova Scotia B3H 4K4 All mail will be brought to your room. Outgoing Mail Leave outgoing mail at the nursing station. Please make sure your mail has the right address and postal code. You must provide the stamp. Newspapers Daily papers are in the coin-operated machine on the 1 st floor. You can have your home delivery re-routed to the Rehabilitation Centre. Parking You are urged NOT to bring your car with you. If you decide that you must bring your car, you will have to pay the regular daily parking rate. After 2 weeks, you can apply to the QEII Parking office for a 50% discount. You can get a form for this at the nursing station. Personal Equipment Special equipment that you use at home, like crutches, canes, walkers, eating utensils, wheelchairs, cushions, or other items, should be brought with you to the Rehabilitation Centre. Clearly label them with your name and keep them in your room. Any equipment loaned to you by the Rehabilitation Centre must be returned when your Rehabilitation stay is finished. 14

16 Phones You may rent a private phone from the phone company at a daily rate. It will be charged to your home phone. Call 499 for help in the set-up of your phone. The operator will walk you through the steps to get your phone up and running. If you do not wish to set up the phones, family and friends can still call into the room, but you will not be able to call out. There are also pay phones on each floor. Patient switchboard number is Banking Machines There are machines located at the VG site in the cafeteria and the lobby of the Dickson Building. TVs/Audio Equipment Hospitality Network provides TV service by calling 2999 on the patient phones. The cost of the service is found by turning the television on and watching channel 15. Your bill will be charged to your credit card. Channel 75 is a FREE education channel for patients. A schedule of the programs and times for this channel can be found at the bedside. We do not allow TVs to be brought in from home. TVs with limited cable service can be found in the dining rooms and solariums on each nursing floor. If you wish to bring in a portable DVD player or laptop computer, please talk with your nurse first. Remember, Rehab is not to blame for the loss or theft of for your personal belongings. We ask that you use headphones whenever possible and respect the patient sharing a room with you. Internet Recreation Therapy offers free wireless internet service to patients visiting the 4th floor of the NSRC. To use this service, simply turn on your device, enable the wireless adaptor, and when prompted to choose a network, select Rehab from the list of choices. You should now be able to use the internet on your device. There is no internet service on the patient units. WARNING - this is not a secure connection and you should be careful when looking at sensitive information like on-line banking, and personal . A security enabled desktop computer is also available on the 4 th floor for these purposes. Vending There is a 24-hour vending service in the cafe area on the 1 st floor. There are also pop machines on the patient floors. 15

17 I want to support the Nova Scotia Rehabilitation Centre Donor Information Mr. Mrs. Ms. Miss Dr First name: Last name: Address: City: Prov: Postal Code: Telephone: I would like to make a gift of: $25 $50 $100 $250 Other: $ Payment Information Cash Money Order Cheque Please make cheques payable to the QEII Foundation If designating the gift to Rehab please write it on the check or attached note. Credit Card: Visa M/C Card #: Expiry Date: Signature: Receipts for gifts under $25 will be sent only upon request. Tax receipt required: Yes No The Nova Scotia Rehabilitation Centre thanks the QEII Foundation for accepting donations on its behalf. For more information on making your gift, call the QEII Foundation at or visit our website The QEII Foundation receives many gifts that are designated to a particular area within the health centre. One hundred percent of the gifts designated to a specific area go directly to that area. Contact Information QEII Foundation 1276 South Park Street Room 1-040, Centennial Building Halifax, NS B3H 2Y9 Phone: (902) Toll free: Fax: (902)

18 Quality Initiative If you are interested in being a representative on the Quality Team please fill in this form and drop it in the boxes at the Nova Scotia Rehabilitation Centre. Questions can be directed to the Rehabilitation Centre Quality Team Name Address Phone Notes 17

19 Notes 18

20 Notes 19

21 Notes 20

22 Capital Health promotes a smoke-free and scent-free environment. Please do not use perfumed products. Thank you! Capital Health, Nova Scotia Prepared by: Rehab Working Group, Capital Health, Halifax Designed and Printed by: CH Audio Visual and Printing Departments Photos by: Capital Health Staff The information in this brochure is provided for information and education purposes only. The information is not intended to be and does not constitute healthcare or medical advice. If you have any questions, please ask your healthcare provider. WX Rev.04/2011 The information in this pamphlet is to be updated every 3 years.

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