Inpatient Rehabilitation Unit Program welcome and overview

Transcription

1 Inpatient Rehabilitation Unit Program welcome and overview 1

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3 Welcome to the Inpatient Rehabilitation Unit at IU Health Bloomington Hospital. Thank you for choosing the Inpatient Rehabilitation Unit for your care. We look forward to getting to know you and your caregivers, and helping you toward your goals. We have a great team of physicians, nurses, therapists and other professional caregivers here to work with you. Our Inpatient Rehab Unit features an on-unit gym, dining area, and healthcare professionals dedicated to your care. We strive to provide care as individual as each of our patients. We ll work with you to set goals and understand your rehabilitation needs. In this binder, you ll find more information about the Inpatient Rehab Unit and the team of healthcare professionals who will care for you during your stay. I encourage you to read through this booklet so you and your loved ones will know what to expect during your stay. If you have questions or concerns during your stay, please do not hesitate to talk with any of the team members. We will be doing patient rounds on a regular basis while you are in the unit and encourage you to share any concerns you may have with us. Thank you, again, for choosing IU Health Bloomington Hospital to receive your care and for the confidence you have placed in us to help facilitate your recovery. Sincerely, LeAnna Porfidio Terri Schneble Ismailu Agbaje, MD Clinical Director Program Director Medical Director Inpatient Rehabilitation Unit Inpatient Rehabilitation Unit Inpatient Rehabilitation Unit 3

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5 Table of contents Our mission, vision and values 6 About the Inpatient Rehabilitation Unit 7 Inpatient Rehabilitation Unit outcomes 10 What to expect 11 The rehabilitation team 13 Discharge planning 15 Frequently asked questions 17 Visitor information 19 IU Health Bloomington resources 23 Basic rights and responsibilities 25 Notes 29 5

6 Our mission, vision and values. Our mission As an Indiana University Health partner, Indiana University Health Bloomington s mission is to improve the health of our patients and community through innovation and excellence in care, education, research and service. Our vision Indiana University Health Bloomington s vision is to achieve preeminence in south central Indiana by providing unsurpassed service and quality healthcare. This will be accomplished by facilitating a full continuum of services through innovation, technology, and collaborative partnerships. Our values Trust: We can count on each other. Excellence: We do our best at all times and look for ways to do even better. Accountability: We accept responsibility for our actions, attitudes and mistakes. Mutual Respect: We treat everyone with respect and compassion. Our commitment to you All team members will act in a manner consistent with the mission, philosophy and operating policies of the program. In accordance with these principles and policies, team members will: Show respect for the dignity of the individual whether patient, family member, co-worker, client or any other person. Recognize diversity in culture, age, gender, sexual orientation, spiritual beliefs, socioeconomic status, and language. Provide the highest quality clinical and customer-related services. Demonstrate fairness and honesty in all interactions with the public. Adhere to their professional codes and practices guidelines. Provide an accurate portrayal of the services and outcomes of the program. Be ethical in all marketing and public relations activities. 6

7 About the Inpatient Rehabilitation Unit From intensive therapy to skilled clinical teams and physicians board-certified in physical medicine and rehabilitation, the Inpatient Rehab Unit at IU Health Bloomington Hospital provides quality care throughout the rehab process. Our goal is to work with you to not only return you home, but to help you achieve the highest quality of life possible. We offer a 21-bed unit, located on the second floor of IU Health Bloomington Hospital, with dedicated dining and therapy areas. Our board-certified physician and physical, occupational and speech therapists, nurses and clinical support staff work closely with both you and your loved ones to achieve your highest level of function. The Inpatient Rehab Unit offers a family-centered approach with multiple levels of inpatient care and rehabilitation. IU Health Bloomington Hospital is CARF-accredited for its Adult Inpatient Rehabilitation Program. The screening process Patients may be referred to the Inpatient Rehab Unit at IU Health Bloomington Hospital from their home, a hospital, or other facility without a prior acute hospital stay. A member of our team works with referred patients and their families to complete individualized, face-to-face evaluations to determine if they will benefit from the services available at the Inpatient Rehab Unit. Our medical director is responsible for authorizing all admissions to the Inpatient Rehab Unit. During the evaluation, a thorough review of the patient s medical history is completed as well as an assessment of his/her mobility and ability to complete self-care. This information is then reviewed with the rehab physician to determine if criteria for entry into the program is met. Patients who meet the criteria for admission to the Inpatient Rehabilitation Unit: Require 24-hour availability of a rehabilitation physician. Require 24-hour rehabilitation nursing care. Require an interdisciplinary approach to care, including at least two therapies. Are able to participate in a minimum of three hours of therapy at least five days a week. Have a reasonable expectation of improvement. 7

8 Those we serve The Inpatient Rehabilitation Unit at IU Health Bloomington Hospital provides intensive therapy in a collaborative environment for people recovering or managing a variety of conditions, including, but not limited to: Amputations Brain injury Congenital Deformities Debility Hip fractures Major, multiple trauma Multiple sclerosis Neurological conditions Orthopedic Disorders Parkinson s Disease Spinal cord injuries Stroke Services provided The Inpatient Rehabilitation Unit at IU Health Bloomington Hospital focuses on helping patients regain quality of life following a significant illness or injury. You will work with a team of nurses, physicians, and therapists throughout your stay. Highlights of the services we offer include: Intensive rehabilitation in a hospital setting A team of board-certified physicians, rehabilitation nurses, patient care technicians, social workers, care managers and dedicated therapists Intensive, individualized therapy program (minimum of three hours per day) Family-centered approach Multiple levels of inpatient care and rehabilitation Integrated, interdisciplinary team approach Our medical team includes board-certified physiatrists who specialize in physical medicine and rehabilitation, and provide care to those staying on the Inpatient Rehabilitation Unit. Our physicians are available seven days a week and round on each patient a minimum of three days a week to check on their condition and progress. 8

9 Working to achieve your goals As you work with our team, we strive to help you: Increase your ability to perform physical tasks Increase self-care skills Improve your psychological adjustment Manage pain Educate you and your loved ones on a specific condition or treatment plan Maintain your health, independence and strength Maximize your quality of life Manage your medications Manage toileting functions While our clinical team will work with you during your stay to provide rehabilitation and care, we also provide a care manager, who will work with you and your loved ones to make sure your stay and transition out of the Inpatient Rehab Unit is positive. Our care manager works with you individually to manage your discharge process, whether you are going home or transitioning to a skilled nursing or long-term care facility. Our care manager can also answer any questions you may have, and help you make arrangements for follow up care. 9

10 Inpatient Rehabilitation Unit outcomes January 1 - December 31, 2012 Total patients served: 450 Diagnosis Number/Percentage of Patients Average Length of Stay (days) Discharge to Home/ Assisted Living Amputations 9 / 2% % Orthopedic (joint replacement) 6 / 1.3% % Orthopedic (fracture) 30 / 6.7% % Orthopedic (other) 35 / 7.3% % Multiple Trauma 16 / 3.6% % Stroke 116 / 26% % Brain dysfunction 44 / 9.8% % Neurological 39 / 8.6% % Spinal impairments 31 / 6.9% % Cardiac 40 / 8.9% % Other* 84 / 18.7% % Total 450 / 100% % * includes pain, pulmonary, general debilitation and rheumatoid arthritis. Patients under the age of 18 are not admitted to this facility. Unfortunately, ventilator-dependent patients, brain injury patients with a Ranchos level 4 or lower, severe burn patients, or patients with active TB requiring respiratory isolation are not admitted to the Inpatient Rehabilitation Unit at IU Health Bloomington Hospital. If the Unit s services are not able to meet the needs of a referred patient, appropriate recommendations for alternate services will be provided. 10

11 What to expect Visiting hours Visiting hours are flexible on the Inpatient Rehab Unit. It is important that your loved ones understand, however, that a majority of your day will be spent working with your therapists. We encourage loved ones to attend your therapy sessions so they can be a part of your care and see the progress you make. As your therapy will be intense, we ask that visitors be respectful of other patients privacy and of rest times on the unit that are set to allow patients quiet time between their therapy sessions. Dining Most of your meals will be served in our dining room. Because eating and choosing foods is a daily living skill, you may work with one of your therapists during meal times as part of your therapy or if you need assistance. For your loved ones, IU Health Bloomington Hospital offers a variety of food options in its Breakaway Cafeteria located on the Ground floor. From the Inpatient Rehab Unit, take Elevator A to the Ground floor, turn left, and the cafeteria is just around the corner. The Breakaway Cafeteria is open: Monday - Friday, 1:30-4:30 am & 6:30 am - 7 pm Saturday, 6:30 am - 7 pm Sunday, 6:30 am - 3 pm Clothing As part of your therapy, you will be expected to get up and get dressed each day during your stay in the Inpatient Rehabilitation Unit. When you arrive, please have with you at least three days worth of clothing. We recommend comfortable and/or loose fitting clothing, especially for your therapy and exercise sessions. We have found that female patients are often more comfortable in pants or shorts, than skirts or dresses during their stay. You may also want to bring a sweater, depending on your comfort needs. Your shoes should be supportive and low-heeled to reduce the risk of falling. Sneakers, or tennis, athletic or walking shoes work well. 11

12 Treatment program You and your family are an integral part of the treatment planning process. Your treatment program is developed based on your unique medical and functional needs. Our team will evaluate you at the beginning of your stay, and will work with you and your family to develop an individualized treatment program that will meet your needs. Patient assessment Within the first three days of your stay, the nurses and therapists will work with you to complete the Patient Assessment Instrument, which includes a Functional Independence Measure. The Patient Assessment Instrument is used by Medicare and insurance companies to measure function and progress throughout your stay with us. Team conferences Each week, the Inpatient Rehabilitation Unit s physician and other members of your rehabilitation team will meet to discuss the progress you ve made toward your goals and the development of your discharge plan. This information will be shared with you and your family/loved ones so you can provide input into your ongoing treatment plan. 12

13 The rehabilitation team You You are the most important member of the rehab team. We will share results of your assessments and involve you in setting your goals. Your input is needed throughout the process. Open, ongoing communication between you and your caregivers about progress toward your goals and your status is essential. Your family and/or primary caregiver are also important parts of the team. During your stay, we will work with them as necessary to make sure your needs will be met after you leave the hospital. We are here to help and support you and your loved ones. Physician Your rehabilitation physician, referred to as a physiatrist, is the leader of the rehabilitation team, and is primarily responsible for the coordination of your care. Your physician will discuss your diagnosis and expected outcomes with you throughout your stay in the Inpatient Rehabilitation Unit. Rehabilitation nurse The rehabilitation nurses on the Inpatient Rehabilitation Unit are specially trained to help you with many aspects of your care. They will work with you to teach you about your diagnosis, medications, skin care and issues relating to bowel and bladder function. The rehabilitation nurses will also work to reinforce activities you learn while in therapy by allowing you to do as much for yourself as you are able. Care manager During your stay in the Inpatient Rehabilitation Unit, a care manager will work with you and your loved ones to coordinate your care. Your care manager can answer your insurance and financial questions, and will make sure that you and your loved ones understand the progress you ve made and the goals toward which you re working. In addition, your care manager will coordinate your discharge from the Inpatient Rehabilitation Unit. We re dedicated to not only providing you with a positive experience while you are in our facility, but also as you transition to the next level of care. Your care manager will work with you and your family individually during the discharge process and help make arrangements and explain your condition and any ongoing therapies or 13

14 medications. He or she will also make sure you have any needed home medical equipment. We can help you transition to a variety of locations, including your own home, an assisted living facility, a skilled nursing facility, or long-term care facility. Social worker Our social workers provide for the psychosocial needs of you and your loved ones. They assist the care managers in discharge planning, including making referrals to outside agencies, financial assistance and mental health needs. In addition, our social workers help to arrange family conferences, facilitate support groups, and provide counseling services, as needed. Physical therapist (PT) Your physical therapists will assist with improving your strength, flexibility, endurance, balance and coordination. Emphasis will be on mobility and helping you to be as independent as possible. When necessary, your therapist will train your caregiver in activities which you are not able to do independently. It is important that you practice what you learn to reinforce the new skills you have gained. Occupational therapist (OT) Your occupational therapist will help you focus on activities of daily living (ADLs). ADLs are the everyday activities you perform including dressing, bathing, grooming, feeding, meal preparation and other homemaking activities. OTs also assist with strengthening, flexibility, coordination and endurance. In addition, they address aspects of cognitive function such as memory and problem solving. Again, it is important that you practice the new skills you have gained. Speech-language pathologist (SLP) A speech-language pathologist (SLP) will work with you if you have problems with communicating, swallowing or cognitive functions. They will assist you in improving your ability to speak and to understand spoken and written language. If you have difficulty swallowing, the SLP may assess the function of your muscles in and around your mouth to help you learn techniques which may help you eat without choking. If these techniques are not possible, the SLP will assist you with other alternatives. SLPs may also address problems with thinking, problem solving and memory. Dietitian A dietitian will work with you to address your nutritional needs and develop a meal plan to meet your individual needs. They will also teach you and your caregiver about the best diet to optimize healing and improve your overall health. 14

15 Discharge planning Caregiver training If you will need any type of help after your return home, caregiver training for your primary caregiver or a family member will be needed. We ask that your primary caregiver attend your therapy sessions and/or meet with staff who can provide the appropriate training. This training is important because it will help ensure that your caregiver is capable of helping you and that you both are comfortable with the care that will be provided after your discharge. Equipment As you get close to your discharge date, your therapists will recommend equipment, such as a walker, bath seat or bedside commode, that you may need at home. Your care manager or social worker will work with you identify the needed equipment and will work with your insurance company to determine reimbursement options. Some equipment may not be covered by your insurance plan. Home modification Your treatment team may recommend a home assessment to evaluate your home environment before discharge. Your therapists may suggest modifications for your home, such as installing grab bars or ramps, or rearranging the space to help ensure your home environment is as safe as possible. Your care manager or social worker can give you a list of equipment providers and installation professionals. Most home modifications are not paid for by insurance. Home program To maintain and build on the strength, flexibility and mobility you have gained during your stay on the Inpatient Rehab Unit, your physical, occupational and speech therapists may recommend a home program. The program will be developed to meet your individual needs and help you continue to progress. Your therapist(s) will provide you with written instructions on how to perform the various exercises and techniques, and, if necessary, can teach your caregiver how to help you once you leave the unit. 15

16 Medications When you leave the Inpatient Rehabilitation Unit, you may need to continue taking various medications, some of which may be relatively new to you. It is important that both you and your caregiver have a very clear understanding of each of your medications, including why you re taking them, the recommended dose, what the medication looks like, and any potential side effects. Throughout your stay, your nurse will talk with you about your medications and help you learn about them. Please do not hesitate to ask any questions. Understanding all of your medications is very important. As you are preparing to be discharged from the Inpatient Rehabilitation Unit, your nurse will review and provide you with the list of medications your physician recommends. If the medications are new, your physician will provide you with a prescription. Do not take any medications not listed without first consulting your physician. 16

17 Frequently asked questions Will my insurance pay for me to stay in the Inpatient Rehabilitation Unit? In most instances, your insurance company approved your admission to the Inpatient Rehabilitation Unit prior to your stay. If anything changes with your insurance coverage while you are in the Inpatient Rehabilitation Unit, we will let you know right away and work through the changes with you. How long will I stay in the Inpatient Rehabilitation Unit? The average length of stay for our patients is about 11 days, however, each patient s length of stay on the unit is individualized to their needs and goals. Our team will meet with you and your caregiver/loved ones regularly to discuss your progress and an appropriate discharge date. Who makes decisions about my care? The entire rehabilitation team, including you and your family. When will I see a doctor? You will be seen at least three times weekly throughout your stay by a physiatrist, who is a doctor specializing in physical medicine and rehabilitation. You may also have a few other physicians involved in your care while you are in the Inpatient Rehabilitation Unit. These physicians may not visit you every day, but will stop in periodically to check on you. How will my doctor know what I m doing in therapy? Your physician will meet regularly with your healthcare team, including your therapists, to learn about your progress. In addition, your therapists will chart your progress daily, and your physician can review this information. 17

18 Who do I go to if I have a problem or question? Please feel free to talk with any member of your healthcare team if you have questions or concerns. If for some reason you feel your concerns are not being addressed or you do not feel comfortable talking with your healthcare team, please contact our Service Excellence department at Do I have to go to all these therapies? The Inpatient Rehabilitation Unit is an intensive inpatient therapy program designed to help you improve your strength and mobility, and gain independence. Each Inpatient Rehabilitation Unit patient attends three hours of therapy daily to work toward his or her individual goals. Your active participation in therapy is essential for receiving the maximum benefit of the Inpatient Rehabilitation Unit s program. How do I help my family understand my condition and rehabilitation? You are definitely not alone in this task. Each member of your healthcare team, including your physician, nurses, therapists and care manager, will talk with your caregivers and loved ones to help them understand your condition, your rehabilitation goals, and the progress you make throughout your stay. Questions are always welcome from you, your caregivers and your loved ones. It s important everyone understands what you re going through and what you re working toward so they can support you in the best way possible. Will I be able to do all the things I used to do? Obviously, each patient is unique and will have individual goals and expectations. Your healthcare team can provide you and your loved ones with guidelines about your expected recovery. On the Inpatient Rehabilitation Unit, we focus on helping you do as many of the things you used to do as possible, or exploring new ways of accomplishing these tasks. We want you to regain as much independence and quality of life as possible. 18

19 Visitor information Parking Parking is available in four surface parking lots as well as a parking garage on the IU Health Bloomington Hospital campus. If you park in one of the surface parking lots, we have a parking shuttle that will pick you up at your car and take you to the canopy entrance (Monday - Friday, 6:30 am - 6 pm). 2ND STREET Hunter School Lot 3 Cardiovascular & Thoracic Surgeons/Heart Valve Center Patient & Visitor Parking Parking Garage Enclosed walkway to hospital on Main level Lot 4 Patient & Visitor Parking Helipad Handicapped Parking I O N E F I G G D R I V E Lot 2 Lot 1 Covered Parking for Emergency Wegmiller Auditorium, Main Floor Physician Parking ROGERS STREET Additio parking from th Pharm N Buildings Sidewalks Employee Parking Areas Human Resources 1ST STREET Medical Arts Building BHAS Administration & Physician Parking 714 South Rogers There is parking service f parking southwe Patterso Wait for the sign the lot. 19

20 Rogers Street IU Health Bloomington Hospital Second Floo Getting to the Inpatient Rehabilitation Unit From the main entrance: You will turn left and go through the lobby. At the Information Desk, turn right and follow this hallway to Elevator A, which will be on your left. Take the elevator to the second floor. The Acute Rehabilitation Unit will be to your right. From the parking garage: Follow the hallway into the hospital and go behind the Information Desk and continue left down this hallway to Elevator A, which will be on your left. Take the elevator to the second floor. The Inpatient Rehabilitation Unit will be to your right. 1st Street Administration Sleep Lab Surgical/ Dialysis Rooms Inpatient Rehab Unit Mo Progressive Care Unit Rooms Inpatient Dialysis B Elevator Rooms Rooms D Elevator Rooms Rooms NO THROUGH A ACCESS Elevator Surgical/ Dialysis Pediatrics Rooms E Elevator Medical Library Special Car Nursery Brig Critical Care East Critical Care West 20 2nd Street

21 Important Phone Numbers Inpatient Rehabilitation Unit at IU Health Bloomington Hospital Inpatient Rehabilitation Unit Program Manager Terri Schneble Inpatient Rehabilitation Unit Clinical Director LeAnna Porfidio Inpatient Rehabilitation Unit Admissions Coordinator - Diana Pegg Inpatient Rehabilitation Unit Medical Director - Ismailu Agbaje, MD My room number: My room s phone number: My primary care physician s phone number Other important numbers 21

22 Local hotel information Courtyard by Marriott 310 S College Ave, Bloomington mi from IU Health Bloomington Hospital Hilton Garden Inn 245 N. College Ave, Bloomington mi from IU Health Bloomington Hospital Indiana Memorial Union Biddle Hotel & Conference Center 900 E 7th St, Bloomington mi from IU Health Bloomington Hospital Hampton Inn 2100 N. Walnut Street, Bloomington mi from IU Health Bloomington Hospital Holiday Inn 1710 North Kinser Pike, Bloomington mi from IU Health Bloomington Hospital Holiday Inn Express 117 S. Franklin, Bloomington mi from IU Health Bloomington Hospital Fairfield Inn 120 S Fairfield Dr, Bloomington mi from IU Health Bloomington Hospital Townplace Suites 105 S Franklin Rd, Bloomington mi from IU Health Bloomington Hospital Comfort Inn 1700 North Kinser Pike, Bloomington mi from IU Health Bloomington Hospital For more information about Bloomington and Monroe County, please see visitbloomington.com. 22

23 IU Health Bloomington resources BLOOMINGTON HOSPITAL FOUNDATION: Should you choose to give back to IU Health Bloomington Hospital, the Foundation has a variety of giving plans and options. Visit bloomingtonhospitalfoundation.org for more information. BREAKAWAY CAFETERIA: Located on the ground floor. From the Inpatient Rehabilitation Unit, take Elevator A. The Breakaway Cafeteria is open: Monday - Friday, 1:30-4:30 am & 6:30 am - 7 pm Saturday, 6:30 am - 7 pm Sunday, 6:30 am - 3 pm CENTENNIAL PLAZA AND GARDEN: Located outside the main lobby. Provides a calming, outdoor space for patients and visitors. FREE WIRELESS INTERNET: Free wireless Internet service is available while you are in the Inpatient Rehabilitation Unit. You may borrow a laptop from the hospital or bring one from home. To get started, please ask your nurse. GIFT SHOP: Located on the main floor. From the Inpatient Rehabilitation Unit, take Elevator A. Open Monday through Friday from 9 am to 8 pm, Saturday from 9 am to 5 pm, and Sunday from 1 to 5 pm. INTERFAITH CHAPEL: Located on the main floor, in the west end of the main lobby. From the Inpatient Rehabilitation Unit, take Elevator A. Open 24 hours a day, seven days a week. INTERPRETERS & SPECIAL ASSISTANCE: IU Health Bloomington Hospital offers communication assistance through a variety of options, including interpreters, TDD/TTY, Voice Relay Service, special telephones, communication boards, and Braille. IU HEALTH ASSISTED MEDICAL TRANSPORT: Personal transportation to/from IU Health Bloomington Hospital, a physician s office or other healthcare facility for those in wheelchairs. Call to learn more. IU HEALTH HOME CARE: Basic services such as wound dressing or medication administration, to advanced care such as IV therapy or rehabilitation. Call to learn more. IU HEALTH HOME MEDICAL EQUIPMENT: IU Health Bloomington partners with HLS Home Medical Equipment to offer home medical equipment, such as walkers or wheelchairs. Call to learn more. 23

24 IU HEALTH REHABILITATION AND SPORTS MEDICINE CENTER: Provides outpatient rehabilitation and sports medicine services with locations in Monroe and Owen counties. Call to learn more. IU HEALTH WOUND CENTER: Offers a range of intensive therapies and a multidisciplinary approach to wound care. Call to learn more. ONLINE BILL PAY: View current and past hospital statements online; pay balances online; print, and save hospital statements online; change address and insurance information; and much more. Visit iuhealth.org/ bloomington and click Pay here to learn more. PARKING: Four patient and visitor surface parking lots are located on the main campus, and serviced by our Parking Shuttle (6:30 am to 6 pm, Monday through Friday). Parking is also available in the garage and is free. TOBACCO USE: IU Health Bloomington is a tobacco-free campus. Smoking, the use of chewing tobacco, or any other tobacco-related products is not permitted at any IU Health Bloomington facility by patients or visitors. There are no designated areas for smoking or tobacco usage at any IU Health Bloomington facility. 24

25 Basic rights and responsibilities You have all the rights of a citizen of the United States of America. You have the right to be presumed mentally competent unless a court has ruled otherwise. You have the right to a clean and humane environment in which you are protected from harm, have privacy with regard to personal needs, and are treated with respect and dignity. You have the right to appropriate treatment in the least restrictive appropriate setting available. You have the right to be free from mistreatment, physical, emotional and sexual abuse, neglect, and exploitation. You have the right to be fully informed of all services available to you, and told in advance of all estimated charges being made, the cost of services provided by the hospital, sources of the program s reimbursement, and any limitations on length of services known to the hospital. You have the right to refuse to perform any service for the facility, or for other patients, unless they are a part of your therapeutic plan of treatment, which you have approved. You have the right to fair compensation for labor performed for the hospital in accordance with the Fair Labor Standards Act. Prior to admission, you have the right to be informed of all hospital rules and regulations concerning your conduct and course of treatment. Personal rights You have the right to talk and write to people outside the hospital. You have the right to have visitors in private, make private phone calls, and send and receive sealed and uncensored mail. You have the right to receive visitors at times other than the established visiting hours, particularly at times of critical illness, or for other pressing personal matters. You have the right to keep and use your personal possessions, including the right to wear your own clothing and religious or other symbolic items. You have the right to religious freedom. You have the right to ask to be moved to another room if another person in your room is disturbing you. You have the right not to be unnecessarily searched unless your physician believes there is a potential danger and orders a search. You have the right to manage your personal financial affairs. If you desire assistance, the staff will arrange appropriate assistance for you. 25

26 You have the right to access and/or referral to guardians, conservators, self-help groups and/or advocacy services. You have the right to be informed in advance of any visitors to the Program and the right to privacy if you do not wish to see visitors, or participate in activities while visitors are present on the program. Confidentiality You have the right to review the information contained in your medical record. If your doctor says you shouldn t see a part of your record, you have the right at your expense to have another doctor of your choice review that decision. You have the right to confidential treatment of your personal and medical records. Information from these sources will not be released without your prior consent, except in your transfer to another healthcare facility, or as required by law, or under third party payment contracts. You have the right to be informed of the current and future use of products of special observation and audiovisual techniques, such as one-way vision mirrors, tape recorders, television, movies or photographs. You have the right to be informed of the purpose of the patient assessment data collection. You have the right to have any patient assessment information that is collected remain confidential and secure. You have the right to be informed that the patient assessment information will not be disclosed to others except for legitimate purposes allowed by the Federal Privacy Act and Federal and State regulations. You have the right to refuse to answer patient assessment data questions. You have the right to see, review, and request changes on the patient assessment instrument. Consent You have the right to refuse to take part in research without affecting your regular care. You have the right to refuse photographs taken during your rehabilitation stay. You have the right to refuse treatment to the extent permitted by law and to be informed of the consequences of this right. You have the right to develop advance directives, if you have not already. You have the right to receive information necessary to give informed consent prior to the start of any procedure and/or treatment. You have the right to withdraw your permission at any time in matters to which you have previously consented. Care and treatment You have the right to know about your physical condition. You have the right to receive treatment of any physical problems, which affect your treatment. You also have the right to receive treatment of any physical problem that develops while you are in the hospital. You have the right to management of pain, including thorough interdisciplinary assessment and interventions. You also have the right to education regarding management of pain after discharge, including information regarding when and how to contact a healthcare professional. 26

27 You have the right to a treatment plan for your stay in the hospital that is just for you. You have the right to take part in developing that plan, as well as the treatment plan for your care after you leave the hospital. You have the right to be told about the care, procedures, and treatment you will be given; the risks, side effects, and benefits of all medications and treatment you will receive, including those that are unusual or experimental, the other treatments that are available, and what may happen if you refuse the treatment. You have the right to receive information about the major types of prescription medications, which your doctor orders for you. You have the right to receive a list of medications prescribed for you by your physician, including the name, dosage, and administration schedule, within four hours of requesting such a list. You have the right not to be physically or chemically restrained. Restraints may only be applied when ordered by a physician. If you are restrained, you must be told the reason, how long you will be restrained, and what you have to do to be removed from the restraint. The restraint must be discontinued as soon as possible. You have the right to meet with the staff responsible for your care and to be told of their professional discipline, job title, and responsibilities. In addition, you have the right to know about any proposed change in the appointment of professional staff responsible for your care. You have the right to request the opinion of another doctor at your own expense. You have the right to be told why you are being transferred to any program within or outside the hospital. You have the right to be reviewed periodically to determine the need for continued inpatient treatment. It is the responsibility of this hospital under law to make sure you have been informed of your rights. But just giving you this information does not mean your rights have been protected. This hospital is required to respect and provide for your rights in order to maintain licensure and do business in this state. Your responsibilities In addition to the preceding legal and human rights, you must also accept certain responsibilities in order to receive maximum benefit from the program. As a patient of IU Health Bloomington, you (or a representative when appropriate) have the responsibility: To provide, to the best of your knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other matters relating to your health. It is important that you also report any charges in your condition to your doctor or nurse. To tell your doctor or nurse whether you clearly understand your medical treatment and what is expected of you as a patient. To follow the treatment plan recommended by your doctor to the best of your ability. This may include following the instructions of your nurses and other health care personnel as they carry out your doctor s plan of care. To attend therapy sessions a minimum of three hours per day. To assume the consequences of your actions if you refuse treatment, to not follow your doctor s instructions or participate in the prescribed plan of care. To assure that the financial obligations of your health care are fulfilled as promptly as possible. 27

28 To follow hospital rules and regulations relating to patient care and conduct. To be considerate of the rights of other patients and hospital personnel in the control of noise, smoking, the number of visitors, and to be respectful of the property of other persons in the hospital. Complaints and Grievances Your satisfaction with services provided in the Impatient Rehabilitation Unit is important to us. It is the policy of IU Health Bloomington to provide all patients and their families or representatives with appropriate channels for communicating dissatisfaction with hospital services and/or the quality of their care. The presentation of a complaint or grievance shall not compromise the patient s access to care. It is the responsibility of the patient to report dissatisfaction with services and care provided. It is the responsibility of IU Health Bloomington to: inform patients or their representatives of this policy, analyze each complaint/grievance and take corrective action when indicated and provide substantive and timely response to their concerns. IU Health Bloomington staff shall attempt to provide prompt, fair, and timely resolution of any reported patient/ family complain or grievance. 28

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32 Inpatient Rehabilitation Unit IU Health Bloomington Hospital 601 W. Second St. Bloomington, IN T iuhealth.org/bloomington 32