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HealthDOC Decision Tree
By ACarlozzo
Category: Health. Viewed 1502 times. Created April 2015.     Disclaimer.   
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Where will patients with DOC go after discharge from the acute care hospital?

               
 
 
Acute Care Hospital: Is the DOC patient on a vent at time of d/c?
 
 




YES


NO



 
University Crossing Vent/BI beds
 
Brooks Rehab Hospital
 









 
Pt receives modified REP program (75-90 min/day)
 
Is the pt workers comp?
 






YES

NO


 
Pt can remain at UC while on vent- if they are weaned off of vent they are transferred to BI bed for 30 days or until deemed appropriate for transfer to Brooks Rehab
Pt receives 2 weeks of traditional REP (180 min/day)
Will the pt be able to be d/c home with family after 2 weeks (pt has involved family, family education is fully completed)
 







YES

NO

 
 
After 2 weeks, pt is d/c to UC to continue with modified REP program (75-90 min/day)
Pt receives 2 weeks of traditional REP (180 min/day) and family training
Pt receives 2 weeks of traditional REP (180 min/day) OR Pt receives traditional REP until determined to be medically stable (may be less than 2 weeks)









 
 
Pt remains at UC as determined by BWC or returns to Brooks Rehab if appropriate
After 2 weeks, pt is d/c home with family
After 2 weeks or when medically stable, pt is d/c to UC to continue with modified REP program (75 min/day)









** If pt emerges from UWS/MCS they will return to Brooks Rehab Hospital if deemed inappropriate for SNF -very active -need for restraints -medically unstable
 
 
 
Pt remains at UC for 30 days or as determined by insurance