Inpatient Rehabilitation Q&A
Why should you choose Children’s for inpatient rehabilitation?
With 28 beds, our Comprehensive Inpatient Rehabilitation Unit (CIRU) is one of the largest pediatric inpatient rehabilitation facilities in the country. It is located inside our Scottish Rite hospital. The pediatric-trained staff in the CIRU treats the whole patient, not just the injury or illness. A team of physicians, nurses, therapists and others help patients build skills and regain independence. They also involve the family with both education and support.
Is the CIRU accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF)?
Yes. We are CARF-accredited with specialty recognition in brain injury program, spinal cord system of care and pediatric specialty program. To earn accreditation, an organization must demonstrate that it maintains the highest standards and accountability. This shows our dedication to reducing risk, addressing health and safety concerns and improving the quality of our programs.
Is Children’s a full-service hospital with emergency services?
Yes. While in the CIRU, all of a patient’s medical needs can be addressed by the hospital. If a patient needs care that is not provided by the CIRU, he has access to Scottish Rite’s emergency services.
Does the CIRU have 24-hour respiratory therapists to care for the patient?
Yes. This is especially important for patients with a spinal cord injury and other patients with respiratory needs. Respiratory therapy is a part of our Ventilator Program, which is designed to help patients that have suffered an injury or illness that affects normal breathing patterns.
Are the physicians pediatric-trained?
Yes. Our physicians are trained in addressing the physical, cognitive and emotional needs of young patients. Since children are not just small adults, they need specialized care. Our physicians understand the needs of a growing body and the difficulties children, adolescents and teens face when staying in a hospital. Most importantly, they know the best practices that will help them return home quickly.
Does the rehab team include board-certified pediatric physiatrists?
Yes. As a matter of fact, our team is led by three board-certified pediatric physiatrists. Our physiatrists provide expertise in the evaluation, diagnosis, treatment and prevention of functional disorders. Their goal is to treat injury and illness without surgery.
Are the physicians and staff currently involved with research and training?
Yes. Our physicians and therapists are actively involved in research. They participate in local, regional and national conferences and meetings. We are also involved in training medical professionals like nurses, allied health professionals and pediatric physiatry fellows. This is important because it keeps us up-to-date on new technologies and evidence-based practices and shows we are continually learning what works best. That way, we can keep improving our already high quality of care.
What is the caseload size for nursing and therapy staff?
Caseload size is represented by a ratio. The first number is the number of patients and the second is the number of staff members. The closer the two numbers are to each other, the more personal attention each patient is receiving.
Therapy staff – 6:1
Nursing staff – 4:1
Nursing staff for ventilator patients – 3:1
What is the therapy treatment schedule for weekdays and weekends?
While in the CIRU, patients are treated seven days a week with a minimum of three hours of therapy a day. Patients can receive up to five hours of therapy a day (9 a.m. to noon and 1 p.m. to 3 p.m.).
Are there support groups for families, caregivers and siblings?
Yes. We offer community support groups run by our chaplain and child life specialists to help ease the stress that may come with a stay in the CIRU. They also help families adjust to what life will be like when they return home.
What is the family’s role during the rehab stay?
Just like the doctors and nurses, the family is an important part of the rehabilitation team. Parents and caregivers should interact with the doctors and take a leading role in the care of their child. Therapy is more effective when the whole family is involved. We teach our patients’ families about the injury or illness, the treatments we are using and why and how to care for their child when they leave the CIRU.
Are family members allowed to stay overnight in the room with the patient?
Yes. While a patient is in the CIRU, family members are allowed to spend the night in room with him. This keeps the child feeling calm and safe, which helps them have better results in therapy.