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Thread: Rehab centers no of nurses per patient

  1. #1

    Rehab centers no of nurses per patient

    Dear friends,

    I am trying to find information regarding operational details of rehab centers. Like the number of nurses per patient that e good center shall have etc.

    where can i find such info ?

    thank you.

  2. #2
    Acute rehab? Sub-acute rehab? LTAC? There is a big difference. It also makes a difference with the types of patients served.

    CARF does not have a set standard...but during your CARF accreditation survey you must be able to prove that you have sufficient staff, and sufficient rehabilitation nurses (ie, RNs with specialized rehabilitation training on duty 24/7) to provide the needed care for the population served.

    The VA says you must have 1.43 nursing FTEE for every SCI inpatient bed, but this does not dictate how many are on duty at any one time, nor the mix (ie, RN vs. LVN/LPN vs. nursing assistant). In most centers, this results in a ratio of about 1 nursing staff person for every 4-5 beds but this varies by shift and facility.

    The state of CA is one of the few states with a legislated minimum staffing requirement, so this certainly sets one critiera. For an acute rehabilitation center in CA, there must be no fewer than 1 RNs or LVNs on duty at all time (24/7) for every 4 rehabilitation patients. Nurses aides or "techs" may be used, but are not counted in the staffing ratios.

    (KLD)

  3. #3
    In my country we only have 1 public rehabilitation center that covers sub-acute and chronic patients with complications etc
    Acute patients are treated in the neuro department.

    This center is located in the biggest hospital of the Country and has 20 beds.

    Thanks

  4. #4
    Acute care = medical surgical care, acute neuro, etc., provided in a general or regular hospital. Rehab may be limited so some therapy, but generally not with any special expertise in disability.

    Acute REHABILITATION = a specialized unit or hospital that does orthopedic and/or neuro rehabilitation requiring at least 3 hours of therapy daily, PM&R physicians, 24/7 rehabilitation nursing (RN) services, education and counseling. It does not include long term care services, and people are discharged from there to their homes.

    LTAC = long term acute care. Generally a step-down from acute care, often for those with chronic ventilators or for prolonged ventilator weaning or more complex treatments than can be handled at a SNF or sub-acute unit. Rehab nursing is rare. Care is provided by general RNs, LVNs/LPNs and nurses aides.

    SNF = skilled nursing facility, usually called a nursing home. People may live in these for years or only for a few weeks or months. Rehab nursing is generally not provided. Most care is provided by aides, with rare interventions other than med passing by RNs and LVNs/LPNs.

    Sub-acute rehabilitation = a special area in a nursing home that provides up to one hour of therapy daily, but generally not specialized rehabilitation nurse, education or other counseling services. Some people (but rarely with SCI) can go home from these units...many go on to SNF placement.

    You can also get more information from the Association of Rehabilitation Nurses: www.rehabnurse.org

    The American Spinal Injury Association is re-writing their standards for SCI rehabilitation centers. The old ones (long outdated, and written in 1983) are out of print and need serious revision. Don't expect this to be completed for at least another year.

    (KLD)

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