PT/OT consult recommends Acute Rehab or DOC
o
Monitor for any
changes in PT/OT notes
o
If transfer
desired early in week, ensure PT/OT notes on weekend
Functional/Exam Requirements
o
Must be able to
participate in 3 hrs/day 5 days per week
o
Neurological exam
stable to improving, if agitation requires intervention, early consult (PMR)
for assistance
o
Medical status
stable to improving
Medical Requirements
1. Neurology
Status
Ø
Neurological exam
stable to improving
Ø
No patients with
severe dementia
Ø
No seizures
within 48h
2. Vital
Signs
Ø
Temp < 38 deg
C or known cause
Ø
Blood
Pressure: SBP < 180, DBP < 100
(except allowance for vasospasm)
Ø
No IV meds for BP
control in the last 24 h; stable
Ø
HR at rest <120
or stable
Ø
Respiratory Rate
< 30
4. Airway
Ø Off the vent at least 48h and stable
Ø 4L or less of NC OR trach collar 40% or less
Ø CPAP/BiPAP at night only, no CPAP/BiPAP via tracheostomy
Ø Trach suction frequency no more than q4hrs
Ø 02 needs stable or improving
5. Labs
Ø WBC normal or known cause if abnormal, stable or trending down
Ø Anemia – stable or identified cause and treated
Ø PLT > 20,000, stable; known/treated cause of thrombopenia
Ø Renal function stable to improving
Ø LFTs stable to improving
6. GI
Ø No
ileus
Ø DHT
needs MBS; if transferred with DHT, needs to be bridled
Ø No ESLD
with Encephalopathy
Ø No
paracentesis needs while at rehab
7. Skin
Ø Stage IV pressure ulcer needs
MRI
Ø Burn Dressing available
8. Pain
Ø No IV pain meds within 24 h
9. Screening LE Duplex
Ø
Required
if:
Ø
Contraindication
for DVT prophylaxis in acute care
Ø
Contraindication
to therapeutic anticoagulation
Ø
Intracranial
hemorrhage
Ø
Active
cancer
Ø
Prior
DVT or PE
Ø
Severely
cognitively impaired
Ø
SCI
Ø
Other
clinical indication as dictated by PMR
