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Rehabilitation Services Policy and Procedure Manual

Rehabilitation Services Policy and Procedure Manual is a manual containing many of our policy and procedure templates for the medical office, hospital, and other healthcare organizations. The policies cover: Joint Commission (JCAHO or TJC) • CMS • HIPAA • CDC • AAAHC and more.

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Changes

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Table of Contents - TJC standards Table of Contents - NIAHO standards Approval/Signature Sheet Copyright Disclaimer Introduction

SECTION 01 - EMERGENCY MANAGEMENT

Emergency Management - Rehabilitation Services

SECTION 03 - HUMAN RESOURCES

Position Description/Performance Evaluation - Rehabilitation Services Director Performance Evaluation - Population-Specific/Age-Related Competency - Rehabilitation Services Director Annual Competency Clinical Skills Assessment - Rehabilitation Services Director Position Description/Performance Evaluation - Physical Therapist Performance Evaluation - Population-Specific/Age-Related Competency - Physical Therapist Annual Competency Clinical Skills Assessment - Physical Therapist Position Description/Performance Evaluation - Physical Therapy Assistant (PTA)Performance Evaluation - Population-Specific/Age-Related Competency - Physical Therapy Assistant (PTA)Annual Competency Clinical Skills Assessment - Physical Therapy Assistant (PTA)Position Description/Performance Evaluation - Physical Therapy Aide Performance Evaluation - Population-Specific/Age-Related Competency - Physical Therapy Aide Annual Competency Clinical Skills Assessment - Physical Therapy Aide Position Description/Performance Evaluation - Occupational Therapist Performance Evaluation - Population-Specific/Age-Related Competency - Occupational Therapist Annual Competency Clinical Skills Assessment - Occupational Therapist Position Description/Performance Evaluation - Certified Occupational Therapy Assistant (COTA)Performance Evaluation - Population-Specific/Age-Related Competency - Certified Occupational Therapy Assistant (COTA)Annual Competency Clinical Skills Assessment - Certified Occupational Therapy Assistant (COTA)Position Description/Performance Evaluation - Occupational Therapy Aide Performance Evaluation - Population-Specific/Age-Related Competency - Occupational Therapy Aide Annual Competency Clinical Skills Assessment - Occupational Therapy Aide Position Description/Performance Evaluation - Speech-Language Pathologist Performance Evaluation - Population-Specific/Age-Related Competency - Speech-Language Pathologist Annual Competency Clinical Skills Assessment - Speech-Language Pathologist Annual Competency Form - Joint Commission National Patient Safety Goals and Universal Protocol Skills Checklist - Rehabilitation Services Staff Qualifications and Competency Licensure Requirements New Employee Orientation Orientation and Inservice Inservice Guidelines Continuing Education Rehabilitation Education for the Organization's Staff Workplace Injury, Illness or Fatality Reporting Staff Injury/Illness Occurrence Form Dress Code

SECTION 04 - INFECTION PREVENTION AND CONTROL

Infection Prevention and Control - Rehabilitation Services Standard Precautions Hand Hygiene - CDC Guidelines Personal Protective Equipment Respiratory Hygiene/Cough Etiquette in Healthcare Settings Transmission-Based Precautions (Isolation Precautions)Sharps Injury Protection Plan Sharps Injury Log Form Management of Accidental Blood or Body Fluid Exposure/Contamination Accidental Exposure to Blood/Body Fluids - Emergency Department Medical Evaluation Form Definition of Biohazardous Waste Handling of Biohazardous Waste Whirlpool Cleaning Cleaning Hydrocollator Cleaning Paraffin Bath

SECTION 05 - LEADERSHIP

Accountability and Responsibility Administration of Rehabilitation Services Your Facility's Organizational Chart Mission, Objectives and Goals Scope of Service - Physical Therapy and Occupational Therapy Scope of Service - Speech-Language Pathology Physical Therapy Code of Ethics Occupational Therapy Code of Ethics Speech-Language Pathology Code of Ethics Sentinel Event Guidelines for Billing Budget Process Prioritization of Delivery of Services

SECTION 06 - MEDICATION MANAGEMENT

Medication Administration Telephone, Verbal and Written Orders for Medication Emergency Crash Carts Emergency Crash Cart Security and Accountability Sample Crash Cart and Defibrillator Checklist Signature Form

SECTION 07 - PERFORMANCE IMPROVEMENT

Performance Improvement Plan Rehabilitation Services PI Monitoring and Evaluation Plan Rehabilitation Services PI Trending Sheet Rehabilitation Services PI Outcome Evaluation Rehabilitation Services PI Volume Measures/Statistics Occurrence Report Form (Incident Report)Patient Satisfaction Questionnaire - Occupational Therapy Services Patient Satisfaction Questionnaire - Physical Therapy Services Patient Satisfaction Questionnaire - Speech-Language Pathology Services

SECTION 08 - PROVISION OF CARE, TREATMENT AND SERVICES

Patient Assessment and Reassessment

Patient Referrals Initiating Rehabilitation Therapy Services Functional Assessment and Reassessment of the Patient Patient Treatment Process Skilled Nursing - Rehabilitation Services Occupational Therapy Evaluations Patient Assessment and Reassessment - Rehabilitation Services Initial Patient Assessment Summary Form - Rehabilitation Services Patient Treatment Plan Rehabilitation Services Patient Treatment Plan Form Daily Treatment and Functional Assessment Form - Rehabilitation Services Documentation of Patient Assessments Pain Assessment, Reassessment and Management Pain Scale Examples Behavioral-Physiological Pain Scale for Nonverbal or Preverbal Patients Fall Prevention Assessment of Adult Patient/Resident at Risk for Falls Form Patient Fall Review Sheet Recognizing and Reporting Suspected Child, Adult, Disabled Person or Elderly Abuse/Neglect/Exploitation

Patient Care Procedures

Patient Identification for Clinical Care and Treatment "Hand-Off" Communication Restorative ADL Program Occupational Therapy Consultation Draping of Patients to Maintain Privacy Care of Patients With IV Access Care of the Latex Sensitive Patient Code Blue Paging Wrapping Hand Splints For Burn Patients Physical Therapy Care, Treatment and Services Occupational Therapy Care, Treatment and Services Adaptive Equipment Small Adaptive Devices for ADLs Treatment Programs Cerebrovascular Accident Protocol Hip Protocol Hoyer Lift Hydrotherapy Hydrocollator Packs Logrolling Knee - Continuous Passive Motion (CPM) Protocol Restorative Range of Motion (ROM)Restorative Gait Program Progressive Gait Training Patient Safety During Gait Training Restraint or Seclusion Use Splinting Crutch Training Basics - Staff Patient and Family Education Handout - Crutch Ambulation for Stairs - Weight Bearing as Tolerated (WBAT)Patient and Family Education Handout - Crutch Ambulation for Stairs - Non-Weight Bearing (NWB)Wound Care - Burns Wound Care - Debridement Enzymatic Debriding Agents Wound Care - Electrical Stimulation Electrical Muscle Stimulation (E-Stim)Transcutaneous Electrical Nerve Stimulation (TENS)Electrical Galvanic Stimulation Phonophoresis Ultrasound Modality Wound Care - Ultrasound Aquatic Therapy Rapid Response Team

Speech-Language Pathology

Speech-Language Pathology Evaluation Protocols Speech-Language Pathology Evaluation Procedures Speech-Language Pathology Therapeutic Procedures Blue Dye Testing for Respiratory Patients with Dysphagia Dysphagia Diet Modifications Summary of Consistencies and Textures Liquid Consistencies Thickened Liquids For Patients With Dysphagia Speech-Language Pathology Therapy For Swallowing Problems

Patient and Family Education

Patient and Family Education - Physical Therapy Patient Education Plan Form - Rehabilitation Services Patient and Family Education Handout - Lower Body Rehabilitation Conditioning Exercises Home Exercise Program Handout - General Instructions - Amputation Home Exercise Program Handout - Amputation - Bridging Home Exercise Program Handout - Amputation - Quad Set Home Exercise Program Handout - Amputation - Glut Sets Home Exercise Program Handout - Amputation - Straight Leg Raise Home Exercise Program Handout - Amputation - Knee Extension Home Exercise Program Handout - Amputation - Hip Extension, Lying Home Exercise Program Handout - Amputation - Hip Abduction Home Exercise Program Handout - Amputation - Hip Abduction, Side Lying Home Exercise Program Handout - Amputation - Hamstring Curls

Discharge Planning

Discharge Planning - All Disciplines Discharge Planning - Rehabilitation Services Discharge Criteria

Inpatient Rehabilitation Facility (IRF) Services

Inpatient Rehabilitation Facility (IRF) Services - Medicare Requirements

SECTION 09 - RECORD OF CARE, TREATMENT AND SERVICES

Documentation Requirements Time Frames for Documentation Legibility of Medical Record Documentation Documentation and the Use of Abbreviations, Acronyms and Symbols Unacceptable Abbreviation and Symbol List

SECTION 10 - RIGHTS AND RESPONSIBILITIES OF THE INDIVIDUAL

Patient Rights and Responsibilities Confidentiality of Information - General Issues Informed Consent Recordings, Films or Other Images of Patients Photographing Pressure Ulcers Authorization and Consent Form - Recordings, Films or Other Images, and Publication Advance Directives Directives for Resuscitation