The Front Door
What does the acronym CMS stand for?
What is Centers for Medicare & Medicaid Services
I have 4 legs and roll.
What is a walker?
What the patient was able to do before the current illness or injury
What is prior level of function?
Brief assessment helps rehab team evaluate a patient's cognitive status and includes questions about orientation, recall, and attention.
What is the BIMS?
Inpatient rehab therapy intensity.
What is 3 hours/5 days/wk, 900 mins/wk?
Teammate evaluating potential patients for our unit
Who is the rehab liason?
Trusty rehab tool always ready to lend a hand--without actually having hands!
What is a gait belt?
A patient becomes dizzy and pale when moving from sitting to standing. What is your assessment and intervention recommendations to the physician?
What is orthostatic hypotension and midodrine, compression stockings, ab binder and bolus hydration?
Nursing tracks these throughout each shift helping the rehab team accurately capture a patient's B&B function.
What are I&Os and continence episodes?
This three- or four-wheeled device gives patients a place to sit when they need a rest and can increase their fall risk if they are not stable enough to use it.
What is a rollator?
Before a patient can be admitted to inpatient rehab, this process may be required to confirm coverage for the stay
What is insurance authorization?
When assisting a patient from the bed to the chair, this is the first thing you should check to make sure the transfer is safe.
What is the whiteboard: patient's precautions and current level of assistance?
Breaking a complex activity into smaller steps to help a patient succeed
What is task specific training, part practice?
PT sees it during mobility, OT sees it during ADLs, SLP may see it during cognition/communication, and nursing sees it throughout the day. Together, these observations help paint a picture of this.
What is the patient's functional performance?
This team member puts the cherry on top coordinating services, equipment, and care patients need after leaving inpatient rehab.
Who is the discharge planner?
Three signs a patient may be appropriate for inpatient rehab
What is functional decline, multiple therapy disciplines needed, medical complexity, physician oversight, potential to tolerate intensive therapy.
I build a bridge for patients who are not quite ready to stand, but still want to get from point A to point B
Team members who carry over mobility, selfcare, safety strategies, medications, education and functional goals throughout the entire day
Who are nursing?
A patient becomes orthostatic after walking 5ft and needs to sit down. What is their mobility score for walking?
What is 88 for walking 10ft?
This piece of equipment can help a patient with a neurological injury practice standing or walking while providing adjustable support.
What is a body-weight support system?
Name 3 of the CMS 13 qualifying Diagnoses
What are Stroke, Spinal Cord Injury, Congenital Deformity, Amputation, Major multiple trauma, Fracture of Femur (Hip fx), Brain Injury, Neurological Disorders, Burns, Active Polyarticular Rheumatoid Arthritis, Systemic Vasculidities (Lupus, Scleroderma), Severe Osteoarthritis, Knee or Hip Joint Replacement
I assist when more than 2 people are needed to move a patient
What is a dependent lift?
Before a patient leaves inpatient rehab, the team must make sure they aren't simply able to perform a task in the hospital--they must be prepared to do it safely in this place.
What is their home/community environment?
A nurse or PCT sees the orange magnet at the door and brings the patient their meal tray from the nursing station. The patient requires cues to use safe swallowing strategies and avoid choking.
What is 4 for eating?
PT helps a patient improve mobility, OT helps them safely get dressed, and nursing reinforces mobility and selfcare throughout the day while assisting medical management.
Together, they are addressing this ultimate rehab goal.
What is functional independence?