1. Welcome to the 5 th Floor Copyright © 2010 Rehabilitation Institute of Chicago. All rights reserved.

2. 2 Welcome to the 5 th floor! Everyone, including patients, families, and RIC staff work together as a team Patients are more active and spend less time in their rooms The daily focus is on therapeutic activities The main goal is to prepare patients and families to go home and move on to the next level of care

3. General Information Visiting hours are 8 am to 8 pm Children under 12 must be accompanied by an adult Visits by children under 5 require a doctor’s order A responsible adult who is learning to assist with care may stay overnight in the room 3

4. General Information Patients wear regular clothes that are comfortable for exercise and activity Patients may bring some personal items from home There is a laundry room on the 5 th floor for patient use Meals are delivered at 7:30 am (breakfast), 11:30 am (lunch), and 5:00 pm (dinner). A hostess takes meal orders and makes sure you receive what you ordered. 4

5. Going on Pass If approved by a doctor, patients may have an area pass to go out in the neighborhood with their families Patients may receive a home pass if families have completed all necessary training (like car transfers, medication management, etc) Patients must complete all therapies before going on pass All patients must return by 8 pm to sleep at the hospital 5

6. What happens on a typical day? Therapies occur between 7:00 am and 6:00 pm Patients usually have three hours of therapy per day in both individual and group format Monday-Friday On weekends, patients usually have two hours of therapy total (sometimes one hour each day, sometimes two hours one day) On holidays, patients usually have 2-3 hours a day 6

7. What happens in a therapy session? Therapies may occur in your room, in the gym, in the dining room, somewhere else in the building, or even outside! Sessions are scheduled for an hour, but that time also includes the therapist getting set up for the session, and documenting progress toward goals at the end of the session; generally patients receive 53-55 minutes of treatment for each scheduled hour 7

8. Areas on the Unit Dining Room Everyone is welcome there for eating, meeting visitors, watching movies and using the computer. There is a refrigerator to store food. Keep your food labeled with a date; once a week the refrigerator is cleaned out, and any unmarked food is thrown out. 8

9. Areas on the Unit Playroom The playroom is open 8 am to 8 pm. You can play with toys and games or borrow books and movies. All children must be supervised by an adult in the playroom. 9

10. Areas on the Unit Nurses Station Nurses and patient care technicians (PCT) can be found at the end of each hall. 10

11. Areas on the Unit Therapy Gym The therapy gym is located across from the unit assistant's desk at the center station. This is one of the places you may have daily therapy. 11

12. Types of Therapy Physical Therapy Provides a treatment program for goals in these areas: Mobility needed for activities of everyday life such as exercising muscles and joints, moving in bed, using a wheelchair, transferring (for example, from the wheelchair to the car) and walking with or without equipment Selecting and ordering equipment such as like wheelchairs, walkers 12

13. Types of Therapy Occupational Therapy Develops a treatment plan for meeting goals in these areas: Activities of Daily Living (ADL) including dressing, bathing, toileting, eating Leisure, such as hobbies and play Work or school related tasks Problem solving and memory to accomplish any of the above Visual perceptual skills Strengthening and coordination 13

14. Types of Therapy Speech Language Pathology Therapy Provide therapy for communication, thinking swallowing skills: Listening, understanding, and remembering what is heard in a conversation Putting thoughts into words, speaking Reading, understanding, and remembering what is read Writing and putting thoughts into writing Chewing and swallowing food safely 14

15. Individual and Group Therapy Therapy sessions are both individual (one on one with therapist and patient) as well as in a group setting Group therapies are important to provide peer interaction and modeling, to make the therapy session more dynamic, and to prepare patients to return to “real world” activities such as school and work 15

16. Other Members of the Team Medical Director and Doctors Dr. Sisung is the Medical Director; you will see him on rounds in the morning and throughout your stay Dr. Rak is another physician who makes rounds in the morning at least once a week Dr. Mukherjee, Dr. Gaebler, and Dr. Revivo are other physicians you will see on the unit, particularly on days when Dr. Sisung and Dr. Rak are not here 16

17. Other Members of the Team Residents A resident doctor who is also assigned to your care makes rounds each morning Residents rotate every two months, so it is possible the resident may change while you are here 17

18. Other Members of the Team Nurses Each day a primary nurse is assigned to your care, but will work with many nurses throughout your stay. The nurse gives medications, does dressing changes, and helps take care of medical needs Patient Care Technicians (PCT) Each day a primary PCT assigned to your care helps with dressing, bathing, toileting, eating and getting you ready for therapy 18

19. Other Members of the Team Care Manager Coordinates all parts of your care, including planning for discharge and working with your insurance company Provides you with a notebook to help organize important information while you are here Arranges for follow up care and provides information on community resources 19

20. Other Members of the Team Psychologist Works with patients and family to talk about adjustment, coping skills, pain management and relaxation. The psychologist may also do some testing with patients to identify thinking and problem solving skills. 20

21. Other Members of the Team Child Life Specialist Colleen Hannon, the Child Life Specialist, helps children cope with and understand medical procedures, provides fun activities to fill the day, and plans outings, parties, and other special events. Colleen runs the Child Life Room, which is open from 8 am to 8 pm for everyone A schedule of weekly activities is posted by the Dining Room, and on the Child Life Room door 21

22. Other Members of the Team Nurse Manager Jeanne Mervine, the Nurse Manager, oversees all your nursing care, and can answer questions related to nursing, medications, procedures, etc. Allied Health Manager Jennifer Schmidt, the Allied Health Manager, oversees all therapy services and can answer questions about scheduling, therapy, etc. 22

23. Other Members of the Team Teachers School children who are in the hospital meet with a Chicago Public School teacher Sessions are usually 30-60 minutes per day Teachers work with your home school, even if outside the Chicago system, to get homework and try to keep you up to date 23

24. Other Members of the Team Unit Assistants Work at the Center Station from 7:00 am to 8:00 pm Answer call lights and telephones, greet patients and visitors, and open security doors when needed 24

25. Other Members of the Team Art Therapist Leads a group once a week for everyone Offers individual art therapy sessions if appropriate for a patient and desired Music Therapist Leads a group every other week for everyone Provides individual music therapy sessions on Thursdays if appropriate for a patient and desired 25

26. Team Conference The care team meets weekly; patients and family are invited to attend These conferences are to discuss progress toward goals, new goal areas for the coming week, and to help plan for discharge Meetings are brief – typically five minutes or so; additional, longer meetings can be scheduled if needed 26

27. Discharge Planning At the initial conference, the team will discuss your anticipated length of stay Short term goals are set weekly and long term goals are set (for the length of your stay) with your input After discharge from the hospital, patients continue to receive therapy at an Outpatient, Home Health, or Day Rehab location 27

28. Patient Family Education Series Similar to this orientation talk, there are scheduled educational opportunities almost every day for patients and families to learn more about treatment and programs at RIC A calendar is published every month with times of various talks All are encouraged and invited to attend! 28

29. Life Center The LIFE Center, on the first floor, provides links to resources on all aspects of disability and has educators on staff who can help guide you to useful information. The LIFE Center website provides access to thousands of disability and health related resources. The center also has a collection of books, magazines and videos on a variety of health topics. Hours: Mondays, Tuesdays and Thursdays 9-5; Wednesdays 9-6; Fridays 9-3. Jamee Heelan is the LIFE Center Educational Program Manager for the 5 th floor. She meets with families individually and leads a weekly group session, to provide helpful resources and answer questions. The LIFE Center Peer Visitor program provides trained peer volunteers to meet with parents and children by request. 29

30. Channel 42 Channel 42 is the RIC television channel in your room It has information on activities throughout the hospital as well as educational videos on health related topics 30