Schwab Rehabilitation Hosptial And Care Network

Programs: Patient care accreditation of the hospital is through the joint commission. The schwab attending physicians are all board certified physiatrists. In addition to general rehabilitative medicine for inpatients and outpatients, the physicians provide specialty care to the persons served. Schwab also has physiatrists with specialty board certifications in spinal cord injury, brain injury, pediatric rehabilitation, emg and pain. Nursing care is provided 24/7 which includes rns, lpns, cnas, and nurse managers/supervisors. 33% of eligible rn staff are certified in rehabilitation nursing. Nurses complete comprehensive assessments upon admission and follow-up assessments on every shift. Basic care includes medical administration, wound care, bladder and bowel management and patient education. Complicated care may include respiratory care, tracheotomy care, suctioning, tube feedings and iv therapy. The schwab physical medicine and rehabilitation residency program is an acgme accredited post graduate training program for specialization in physical medicine and rehabilitation. Five (5)residents per year are admitted to the program for three (3) years of training (total of 15 residents each year). Schwab residents are recognized as graduating with the ability to care for persons with a wide range of disabling conditions, including competence in stroke, spinal cord injury, traumatic brain injury, complex medical conditions, and a wide range of patients including geriatric and pediatric patients with disabilities. Many of the residents are accepted for subspecialty fellowships to further hone their skills in management of specialty rehabilitation conditions. Schwab residents are also involved in administrative rotations, and quality and patient safety focused process improvement projects. Rehabilitation services staff members participate in research projects, team conferences, interdisciplinary hospital committees, and attend meetings of various professional organizations. Several physiatrists and hospital leaders serve on boards of local, state and national organizations. Therapists keep current with best practices by attending professional continuing education courses and by sharing knowledge via inservices to the department as well as to other disciplines. Staff nurse engagement staff nurses are engaged with nursing leadership through the professional practice council to continually improve the patient care that is provided. Hourly rounding is conducted on every patient to assure that needs are being met, especially in areas such as pain control and toileting. These efforts have helped us sustain below average fall rates across all of the nursing units. Change of shift report is done at the bedside, in collaboration with the patient/family to promote safety, team work and collaborative goals setting. The bedside medication verification (bmv) - bar code scanning on medication and patient wrist bands - continues to be used to assure that the right medication is administered to the right patient. This process has proven to substantially reduce common errors in medication administration and has been used at schwab for over five (5) years with a 100% compliance rate of use. Nurses are encouraged to continue their education and attain specialty certifications. 33% of our eligible rns have achieved rehabilitation nursing certification indicating advanced preparation and knowledge in the field. Additionally, our nurses participate in a self directed, evidence based practice council and a clinical ladder program which encourages projects to direct patient. Several of our nurses are also recipients of the daisy award, a national program recognizing the compassionate care provided to patients.

therapy schwab rehabilitation hospital provides an extensive array of rehabilitation services, including physical therapy, occupational therapy, speech-language pathology, audiology and psychology services. All service lines work together with the medical, nursing, and case management teams to establish a plan of care for each patient that focuses on maximizing independence. This is done utilizing evidence-based interventions and best practices as established by research and by each professional organization. Physical therapy focuses on gross motor movements: balance, coordination, strengthening, general mobility, pain and gait dysfunction. Physical therapists utilize interventions such as therapeutic exercise, neuromuscular re-education, gait training, manual therapy techniques, therapeutic modalities (various forms of heat, cold, hydrotherapy, electrical stimulation, traction). Therapists also perform wheelchair management, including customized seating, fitting, and positioning, and wheelchair propulsion and mobility training. Occupational therapy focuses on activities of daily living; such as dressing, bathing, grooming, cooking, cleaning, money management, as well as working on fine motor coordination, visual-spatial deficits and sensory integration deficits. Occupational therapists utilize interventions such as therapeutic exercise, neuromuscular re-education, energy conservation techniques, vision rehab, retraining in home management, activities of daily living skills, and cognitive skill development. Speech-language pathology focuses on evaluation and treatment of swallow function, speech and language deficits, including written and verbal communication, memory, problem solving, and social interaction. Speech-language pathologists use a variety of diagnostic techniques, including video fluoroscopic swallow studies to evaluate dysphagia (swallow disorders), and a number of test batteries to evaluate language, cognition, and memory. These therapists then utilize techniques such as oral-facial-laryngeal muscular re-education, compensatory techniques with modified diet consistencies, communication strategies, cognitive retraining, and memory techniques. Audiology services are provided mainly on an outpatient basis. Schwab has one of the only wheelchair accessible audiology booths in all of chicago land. Schwab audiologist are fluent in both asl and spanish, and serve all age ranges from infant to geriatric adults. Audiology is available to our inpatients, should a sudden hearing loss occur related to a new medical condition, otherwise patients are scheduled for visits following discharge from the hospital. Psychology services focus on patients adjusting to the 'new normal' of living with a disability; concentrating on loss, anxiety, depression, role definition, and patient and family coping. In addition, they assist patients with encouragement to participate in their overall plan of care. All therapists perform patient and family education and make recommendations regarding discharge disposition, assistance required at home, and recommendations for next level of services required. Additional multi-disciplinary interventions include group therapy, individualized home visits, and community reintegration outings. Therapy services have a robust and well-respected clinical education program that has affiliations with physical therapy, occupational therapy, and communications disorder programs across all of chicago land, as well as with numerous out-of-state programs. Dozens of students come to schwab each year to complete the final stages of their graduate level clinical internship, supported by clinical instructors among schwab staff therapists, and prepare for employment as entry-level clinicians. Therapists hold a variety of specialty skills and certifications. Specializations held among our staff includes: apta neurological, pediatric, and orthopedic clinical specialists, resna-certified clinicians, lana-certified, and ndt-trained therapists, vital stim certifications, lee silverman voice, and many other specialties.

pharmacy schwab anticoagulation program addresses anticoagulation therapy at mount sinai and schwab rehabilitation hospital. Anticoagulation medications are considered high risk in that they require close monitoring for continued dose adjustments to maintain therapeutically effective dose levels, while having a high potential for adverse patient events. Addressing regulatory standards and best practices for overall venous thrombo-embolism prevention, anticoagulation treatment protocols were reviewed, updated and approved. The medication use safety improvement committee also reviewed data from the institute for healthcare improvement (ihi) anticoagulation trigger tool document, which provides screening criteria for adverse drug events. This data assisted the committee in determining which interventions need to be made at the respective hospital and the type of intervention: education, protocol changes, formulary changes and management of the medication. The pharmacy department worked closely with schwab rehabilitation hospital in recommending anticoagulation education to nurses, residents and attending physicians. This education focused on prescribing, dose adjustment, administration and monitoring of anticoagulants and helped decrease the number of adverse drug events. Education was provided several times and will continue to be provided to promote a culture of medication safety. Part iii, line 4d- attachment other program services support services materials management works with nursing and therapies to review new, high quality, and cost-effective products in a continuous manner to support the use of cost-effective supplies, services, and equipment in the provision of rehabilitation services. This collaboration is facilitated through the system's value analysis committee, comprised of clinical representatives across the system. The committee has reviewed items such as sequential pressure devices, casting and padding, elastic wraps/bandages, assistive equipment and catheters - to ensure our supplies support a high level of quality for our patients at schwab rehabilitation hospital. Intervention programs some points of interest and highlights regarding interventions/programs that help to fill the gaps between what participants need and what is available to them in the community 1. Accessibility - recommendations for sinai health system to increase accessibility for all patients 2. Community technology center - accessible computer lab and education 3. Disability resource center - support, referrals, information, and advocacy 4. Domestic violence - support, referrals, information, and advocacy 5. In my shoes - violence prevention for youth and 6. Peer mentoring - positive role modeling and support by and for people with disabilities.