Patient Care I
As part of the Hand Off communication, the Patient Care Board in the patients' room includes information on:
A)Team members names and numbers
B)Current status for mobility, self care, transfers, and communication
C)Safety Considerations
D)Use of equipment
E)Messages to/from family and Friends
How is family and caregiver education coordinated?
What team members are involved? (Part I)
-SWS, who is the liason between the patient, family, and the team, arranges training patients during LOS.
-ALL team members are involved in family/caregiver education and training, primary team members are RN, OT, PT, ST, and NP.
How does the team address patients preferences, goals, barriers, and collaboration with the patient at admission, during the LOS, and at discharge?
Offered in English and Spanish:
1)Diagnostic specific Patient Education Videos
2)Safety and Infection Control
3)Discharge preparation and Instruction
4)Medication explanation and education
5)Relaxation activities
Provide specific examples of topics covered in Family/Caregiver training and education? (Part II)
1)Medical Management including medication management, skin intergrity, nutrition, and bowel/bladder care
2)Wellness and Prevention
3)Safety
4)Psychosocial issues, i.e. depression
5)Mobility/Transfers
6)Self Care
7)Communication
8)Nutrition, Hydration
9)Swallowing
10)Community Resources
-Adverse drug reactions
-Aspiration pneumonia
-Contractors
-DVT's
-Depression
-Falls
-Nutrition
-Skin breakdown
-UTI's
-American Heart Association
-American Stroke Association
-American Diabetes Association
-American Cancer Society
-American Brain Tumor Association
-Amputee-Coalition
-Disability Rights Education and Defense Fund
-Brain Injury Association
-CCD roberts Campus
1)Massage
2)Acupuncture
3)Qi Gong
4)Meditation
5)Relaxation and breathing techniques
6)Stress reduction through biofeedback
1)Specific culture and customs
2)Age
3)Gender
4)Sexual Orientation
5)Spiritual Beliefs
6)Socioeconomic Status
7)Language
A) Orthotics/prosthesis
B) Visual assessment
C) Chaplaincy
D) Substance abuse counseling & treatment
A) Designated, contracted vendors such as howard, harger, lawerence, and capstone orthopedics
B) Refer to services such as Dr. Chakin
C) EHR referral
D) Neuropsychology
The Ed Roberts Campus provides services for individuals with various disabilities and impairments, Name 4 services that are offered? (Part I)
-Center for Independent Living (CIL), housing access
-Bay Area Outreach Recreation Program (BORP)
-Department of Vocational Rehab
-Lighthouse for the Blind
Provide examples of how the Rehab programs scheduling meets the following patient needs:
A)Patient preferences
B)Communication
C)Spiritual needs
D)Choice of activities
E)Endurance
A)Choice in diet choices
B)Interpreter Services, multimodality methods for learning, auditory aides, and bedside aides
C)Chaplaincy or outside spiritual counsel
D)Established rest periods
How is information provided to our patients about:
1)Need for personal care assistants
2)Access to funding
3)Access to housing and placements
4)Community Resources
How do we provide referral access and service for patients who require:
E) Dialysis
F) Dentistry
G) Peer Support
H) Driver's Rehabilitation
E) In- House Dialysis program
F) Referral from coordinator with primary dentist or referral to outiside dentist for emergencies
G) NP/TR/SW coordinates peer support
H) OT refers to outside agencies
The Ed Roberts Campus provides services for individuals with various disabilities and impairments, Name 4 services that are offered? (Part II)
-Toolworks, Employee services
-Alameda Alliance for the Health, health insurance programs
-California telephone access program
-Ala Costa centers resources for school aged children with disabilities
1)Pocket Talkers
2)Pancake Lights
3)Bed Alarms
4)Pre-Driving Screening
5)Liko lift system
6)EKSO
7)Others?
How do we gather follow up information on our patient in areas of:
A)Aspiration Pneumonia
B)Falls with/without injuries
C)Re-hospitalizations
D)Unplanned medical visits
Information is collected through HealthTrack. Trends in percentages of occurrences are analyzed and performance measures are established to decrease occurrences.
Our Intrathecal Baclofen program addresses the unique need for patients with spasticity.
What are some of the primary goals for patients who are admitted to this program?
-Assess, monitor, and adjust baclofen during log
-Reduce pain and spasticity
-Improve functional mobility and ability to participate in activities of daily living
*Go to: Sutter Intranet
-Clinical Tab
-Library Resources
-Journals, books, database, point of care