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Inpatient Rehabilitation at Smyth County Community Hospital

Smyth County Community Hospital's Inpatient Rehabilitation Program proudly serves Smyth County and neighboring communities.

Our program meets all CMS (Centers for Medicare & Medicaid Services) standards. CMS conducts regular surveys to ensure that providers are meeting the strict criteria to be considered an inpatient rehab facility. The results demonstrate our commitment to excellent care.

Regaining Independence

Our program provides ongoing care and prepares patients to return to their prior level of function. A comprehensive team helps the individual to improve in the areas of:

  • Self-care skills
  • Mobility skills
  • Psychological adjustment
  • Health
  • Independence
  • Strength
  • Return to a functional lifestyle

Our Comprehensive Team includes:

  • Physicians skilled in rehabilitation medicine
  • Rehabilitation Nurses
  • Recreational Activities
  • Physical Therapy
  • Social work/discharge planning
  • Occupational Therapy
  • Speech  Therapy
 

Our Goal 

Our goal is to guide you, the patient, to improve your quality of life by restoring you to maximum ability and productivity. You are the most important part of the rehabilitation team.

Inpatient Rehabilitation Admission 

To be admitted to SCCH’s inpatient rehabilitation unit, patients must: 
  • Require medical management and rehabilitative nursing 24 hours a day
  • Need a comprehensive INPATIENT rehabilitation program
  • Be able to participate in and benefit from intensive rehabilitation to include three hours of therapy five days a week
  • Have an identifiable place to go when they are discharged from SCCH, such as home, an assisted living facility or retirement home, etc.

The SCCH inpatient rehabilitation unit does not provide services for patients who require ventilator support, have a primary psychiatric disorder or require substance abuse rehabilitation.
Cognitively impaired patients must have a family member to accompany the patient at time of the admission. If there are safety concerns, we will make arrangements for family members to continually stay with the patient to avoid using restraints.
Persons qualifying for admission to SCCH’s inpatient rehabilitation unit and their family members or caregivers are encouraged to tour the facility before admission.

What to Bring

Because patients are physically active in the inpatient rehabilitation unit, loose-fitting clothing is strongly advised. Patients should pack the following for their stay:

  • Comfortable pants/shorts
  • Gym shoes or comfortable footwear
  • Night clothes and robe
  • Personal grooming items
  • Shirts or blouses
  • T-shirts may be recommended for patients with neck and/or back braces
  • Sweatshirt or sweater
  • Undergarments

The patient’s family or caregiver is responsible for laundering the patient’s personal clothing. Patients’ garments, glasses, hearing aids and dentures should be labeled. Patients are advised to leave valuables at home, including jewelry, credit cards and cash. Rooms are equipped with televisions and clocks. All personal electrical items must be checked with the Maintenance Department before being used in the hospital.
The entire SCCH campus is a tobacco-free environment.

The SCCH inpatient rehabilitation unit does not provide services for patients who require ventilator support, have a primary psychiatric disorder or require substance abuse rehabilitation.

Cognitively impaired patients must have a family member to accompany the patient at time of the admission. If there are safety concerns, we will make arrangements for family members to continually stay with the patient to avoid using restraints.

Persons qualifying for admission to SCCH's inpatient rehabilitation unit and their family members or caregivers are encouraged to tour the facility before admission.

Your Hospital Stay

The SCCH rehabilitation unit helps individuals who have physical or cognitive deficits from disease or injury. The unit’s mission is to help each patient regain, to the greatest degree possible, his or her ability to function and be independent and self-sufficient. It is important to understand how being a patient in the rehabilitation unit will be different from a stay in an acute care hospital. At SCCH, the rehabilitation physician is in charge of your care, instead of your surgeon or primary care physician. This means decisions about your care such as medication, lab work and therapy will be coordinated through the rehabilitation physician.

Our goal is to assist you to improve your ability to function at your highest level and to return to your identified place to go when you are ready for discharge from SCCH. In order to achieve this, you will be getting dressed every morning in your normal clothing. A wheelchair will be issued for your self-mobility needs. A team member will assist with ambulation and transfers until your physician deems you safe to move without assistance.

Weekdays you will work in therapy to strengthen your muscles and endurance to improve your mobility. You will be asked to participate in your own care as much as possible, instead of having the nurse or therapist do things for you.  Routine tests or follow-up appointments will be scheduled after discharge unless otherwise indicated. If it is determined an appointment is needed prior to discharge, your family will be scheduled to attend a therapy session for training (car transfers, etc.) to ensure your safety during this time. 

Service Areas 

  • Traumatic brain injury
  • Stroke
  • Amputation
  • Spinal cord injury
  • Orthopedic injury
  • Rheumatologic impairments
  • Neurological and neuromuscular problems
  • Major multiple trauma
  • Your rehab team may include:
  • The person served and his or her family
  • Physical rehabilitation physicians
  • Case managers
  • Rehabilitation nurses
  • Physical therapist
  • Occupational therapist
  • Speech/language pathologist
  • Psychologist
  • Registered dietitian
  • Pastoral care
  • Telemedicine based specialities

Patient Rights 

  • You have the right to competent, considerate, and courteous treatment and service within our capacity without discrimination.
  • You have the right to complete information and to ask questions about all aspects of your care, including those who provide it and charges associated with the care.
  • You have the right to be involved in all aspects of your care including an appropriate response to reports of pain and to agree to or refuse treatment after it is explained to you. Your family may be involved also if you choose or if you are decisionally incapacitated or are a child.
  • You have the right to either agree or refuse to participate in a research project or experimental treatment without affecting other services.
  • You have the right to make decisions about your medical care in advance in writing through advance directives, and the right to confidentiality, privacy, a safe and secure environment, resolution of complaints, and spiritual or religious counseling.
  • You have the right to assistance with communication, including an interpreter if necessary.
  • You have the right to visitors of your choice, mail, telephone calls, or other forms of communication unless restriction is necessary to respect other patients’ rights or as a component of your own care and you and/or your family are included in the decision.
  • You have the right to discuss ethical issues arising in your care and to access protective services.
  • You have the right to receive a copy of the MSHA Notice of Privacy Practices and to request confidential communications/restrictions regarding your protected health information.
  • You have the right to request an accounting of disclosures of your protected health information and to request access to and amendment of protected health information maintained within a designated record set.
  • You have the right to be free from restraint or seclusion, of any form, unless medically necessary or imposed to ensure your immediate safety or well-being, the safety of a staff member or others, and such restraint or seclusion will not be imposed as a means of coercion, discipline, convenience or retaliation by the staff.

Patient Responsibilities 

  • Provide complete and accurate information about your medical history, previous hospitalizations, current health and to report effects of treatment we provide.
  • Consider the rights of other patients.
  • Follow all reasonable instructions of your physician and other healthcare personnel to the best of your ability.
  • Provide the facility with a copy of any advance directive or the substance of those documents if you did not bring them with you.
  • Request explanation of services provided.
  • Fulfill the financial obligations of your care.
  • In the event use of a sitter is required for the patient, it will be the responsibility of the patient or patient’s family to complete suitable arrangements, including payment of any financial obligations, with an appropriate agency that has received approval from this hospital to provide such sitters to patients. This hospital shall not provide payment for any such sitters.
  • Keep appointments and give notification if unable to
  • do so.
  • Valuables should be left at home. If you are unable to leave items at home, please ask staff to secure your valuables.

Discharge Planning

The discharge planning process is initiated at the time of preadmission assessment to the unit. Discharge planning may include:

  • Family conference, education and training
  • Education on energy-conservation methods
  • Home program
  • Use of adaptive equipment
  • Adjustment to changing life roles
  • Management of medical complications
  • Preparation for home accessibility and safety including recommendations for medical equipment (need of walkers, wheelchairs and hospital beds)