Preparing for Inpatient Rehabilitation
At NYU Langone’s Rusk Rehabilitation, our staff works with you to create a treatment plan to help you regain as much physical function as possible during your hospital stay. You and your family or significant other are involved throughout the rehabilitation process. The staff asks for your input when setting treatment goals, planning your discharge, and arranging follow-up therapy and medical care.
Here are the answers to questions you may have about your inpatient treatment.
How is a rehabilitation hospital different from an acute care hospital?
In an acute care hospital, most treatment is provided at the bedside, with constant monitoring and observation. You are moved to Rusk Rehabilitation when you no longer require this intensity of medical care and can actively participate in daily treatment sessions that last a minimum of three hours per day.
How is Rusk Rehabilitation different from a subacute program offered in a nursing home?
Rusk Rehabilitation, an acute inpatient rehabilitation facility, provides services to patients who require 24-hour oversight by medical and nursing professionals. Patients admitted to this facility are physically able to participate in a therapeutic program for a minimum of three hours per day, have the potential to make functional gains within a reasonable amount of time, and can benefit from a short-term inpatient stay with definite and measurable goals.
The subacute programs at nursing homes are recommended for patients who are not physically able to participate in three hours per day of active therapy and who need long-term rehabilitation.
How can my hospitalized family member get transferred to Rusk Rehabilitation?
The first step is to speak to the hospital social worker or case manager to request that a referral be made to Rusk Rehabilitation. The clinical and discharge staff at the referring hospital can help guide you in your discharge decisions. If your loved one is being transferred from another medical facility, his or her physician and social worker can help coordinate the transfer.
If you want to visit Rusk Rehabilitation beforehand, the admitting office can help set up a tour and answer as many of your questions as possible. Call us at 212-263-6034.
How do I get into Rusk Rehabilitation from home?
Patients at home need to be seen as an outpatient by a Rusk Rehabilitation doctor who can make recommendations for admission, if appropriate, or offer recommendations on continued outpatient therapy. Call 212-263-6037 for a referral.
When does my therapy program begin?
Your rehabilitation program begins at the time of your admission. Within the first 24 hours, and continuing during the first several days of your hospital stay, you participate in evaluation sessions provided by members of the rehabilitation team. A treatment program is designed based on your needs, team goals, and personal goals expressed by you and your family or significant other.
The evaluation findings are discussed at meeting held during the first week of your admission. You are given a written weekday schedule that includes a minimum of three hours of daily therapy. Throughout the day, you are expected to participate, as much as possible, in all your self-care activities.
What is a rehabilitation team?
Patient care at Rusk Rehabilitation is organized around a rehabilitation team, a unique concept originally developed here. The treatment team includes the patient, family members, referring physicians, and rehabilitation specialists. The team approach to facilitating recovery allows us to provide comprehensive services that address the whole person, not just a disease.
Your physiatrist—a doctor specializing in rehabilitation medicine—leads the rehabilitation team assigned to your care. The team includes your nurse, nutritionist, social worker, physical therapist, occupational therapist, speech therapist (if needed), psychologist, and other therapists and consultants as needed. Your physiatrist and rehabilitation team members meet weekly at a reevaluation conference to discuss your progress and to set new goals if necessary.
What is the patient-to-nurse ratio?
During the day there is one nurse to eight patients with nursing aides providing assistance.
What does therapy consist of?
All patients receive physical and occupational therapy. Depending on an individual’s treatment plan, other therapies may include speech and swallowing therapy, horticultural therapy, recreational therapy, or neuropsychology.
How long do I stay at Rusk Rehabilitation?
Your length of stay is determined by your progress in therapy, your diagnosis, medical necessity, nursing needs, and insurance authorization to continue therapy in the inpatient setting.
What happens when I am ready to be discharged?
Planning for a smooth transition to your home or to another facility begins early in the rehabilitation process. Your social worker and the entire rehabilitation team works with you to make sure that your needs are addressed. Discharge planning involves making decisions related to where you are going after you leave Rusk Rehabilitation.
It is important to remember that your stay is just the first step in the rehabilitation process. Your social worker discusses options for follow-up services including home care and home therapy, outpatient therapy, or additional inpatient therapy in a subacute facility.
Can my family visit when I'm an inpatient?
Yes. Visiting is recommended. During inpatient rehabilitation, you work with a team of individuals on your recovery. You are the most important part of that team, and your family, friends, and loved ones are also important members of the team.
Can family members stay overnight?
On the pediatric unit, one parent or legal guardian may stay per night. One family member may stay with an adult patient if he or she is staying in a private room.
What should I bring with me for my rehabilitation admission?
Bring at least three changes of clothing. It is recommended that patients bring comfortable clothing—elastic-waist pants are often best—socks, and sneakers or walking shoes. If a patient prefers personal pajamas or specific toiletries, family members should supply these as well.
Which insurances do you take?
We accept a large number of insurance carriers including Medicare and Medicaid. Please call the Rusk Rehabilitation admitting office at 212-263-6034 to find out about your specific insurance. The admitting office works with your insurance company to identify what is covered and which costs, if any, you are responsible for. We accept patients who pay for their own medical care.