|
- The patient must be medically stable, defined as follows: the medical diagnosis and course of treatment for primary and secondary diagnosis are established. The patient's vital signs and laboratory test results are in the acceptable range for the medical condition of the patient. The patient's course of treatment is not anticipated to require laboratory diagnostic studies more than once a day or frequent transfers to other facilities for procedures.
- The patient requires interventions from members of the rehabilitation team that cannot be accessed with required frequency or duration on an outpatient basis or through private clinics.
- The patient must have had an initial assessment by the physical and occupational therapists of the referring service.
- The patient has the ability to make functional gains. Must be able to participate in two to three hours of active therapy on a daily basis and have a sitting tolerance of one hour twice daily.
- The patient must be motivated and able to participate in therapy.
- The patient has sufficient cognitive capacity and emotional stability to participate in therapy (not demented, delusional or in post traumatic amnesia).
- Patient and family agree to transfer/admission.
- The patient has a potential discharge destination identified prior to transfer/admission.
- All patients must be assessed by a rehabilitation physiatrist prior to transfer/admission.
| Stroke: |
Barthel index must be above 40 for admission/transfer consideration. The Barthel index is a method of assessing the degree of disability in a patient by recording what activities of daily living a patient can perform independently. |
| Traumatic Brain Injury: |
The Galveston Orientation and Amnesia Test (GOAT) must be documented greater than 75 on two consecutive days. The GOAT evaluates and assesses cognition after a head injury, measuring orientation to person, place and time and memory for events preceding and following the injury.
Patient must be at least Rancho Los Amigos
Level V. Rancho Los Amigos is an assessment scale from I to VIII that measures the level of cognitive functioning of traumatic brain injury patients. This assessment tool does not require cooperation from the patient, but is based on observation of the patient as he or she responds to environmental stimuli.
Direct transfer to the Stan Cassidy Centre for Rehabilitation will be arranged where appropriate. This tertiary rehabilitation centre located in Fredericton has approximately 16 beds and is the provincial centre of rehabilitation expertise. |
| Spinal Cord Injury: |
Paraplegic patients and American Spinal Injury Association (ASIA) D tetraplegic patients will be transferred to the Rehabilitation Unit unless they request transfer to Saint John or Fredericton rehabilitation units. ASIA is an impairment scale of the American Spinal Injury Association that tests motor and sensory strengths of spinal cord injury patients.
ASIA A, B and C tetraplegic patients will be transferred directly to the Stan Cassidy Centre for Rehabilitation unless the patient requests to stay at The Moncton Hospital. |
| Orthopedic Patients: |
Weight bearing status must be clear before transfer will be arranged. |
 Back to top
|
