Welcome to MedStar National Rehabilitation Hospital

Guidebook
for Patients and Families
This is your passport to health. Keep it with you at all times.

Your Guide to MedStar NRH

Table of Contents
Welcome Letters...................................................................................................................................................1 MedStar NRH Vision/Mission/SPIRIT Values and Vital Signs .........................................................................2 Meet VIC ..............................................................................................................................................................4 Getting Settled......................................................................................................................................................6 For Your Comfort and Convenience...................................................................................................................8 MedStar NRH on the Internet ..........................................................................................................................10 Amenities............................................................................................................................................................13 Television Channel Listing ................................................................................................................................15 Visitors................................................................................................................................................................16 Food and Nutrition Services .............................................................................................................................17 Your Rights and Responsibilities.......................................................................................................................19 Privacy ................................................................................................................................................................21 Your Rehabilitation Team..................................................................................................................................22 Patient Safety......................................................................................................................................................26 Rapid Response ..................................................................................................................................................28 Research..............................................................................................................................................................30 Special Equipment .............................................................................................................................................31 Special Programs and Facilities.........................................................................................................................32 Transportation and Parking Information ........................................................................................................36 Giving Back to MedStar NRH...........................................................................................................................39 Floor Plans .........................................................................................................................................................40 Frequently Called Numbers ..............................................................................................................................44 About MedStar NRH.........................................................................................................................................45 Index ...................................................................................................................................................................46

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Your Guide to MedStar NRH

Welcome to MedStar NRH

O

n behalf of all Team Members, welcome to the MedStar National Rehabilitation Hospital (MedStar NRH) and the MedStar NRH Rehabilitation Network. We have assembled an outstanding staff of professionals from across the country to serve you and we hope your stay at MedStar NRH will be comfortable. We are confident that our Team Members will give you the best possible rehabilitative care. During your inpatient stay, our multi-disciplinary team will manage your medical complications, build your strength, and help you begin the process of recovery through intensive therapy and many other important services. An inpatient hospital stay is an important step, but it is only one step toward your ultimate recovery. We’re the region’s post acute care experts and we will manage your disabling injury or illness from the time you enter this hospital to the time you return home. That’s because MedStar NRH is more than just a world class hospital — it’s a medical rehabilitation network offering access to specialized physicians and Ⅲ the best available acute inpatient rehabilitation; Ⅲ innovative day treatment programs; Ⅲ outpatient services throughout the region; Ⅲ partnerships with quality skilled nursing facilities; and Ⅲ home care through MedStar Visiting Nurse Association. If MedStar NRH sounds different from most other hospitals, you’re right! We focus on your abilities—not your disabilities — and we encourage you to assume as much responsibility for your life as you can. The more responsibility you can manage, the more independent you can be. Assisting you in reaching your highest level of independence is what MedStar NRH is all about. We will build a roadmap for your recovery — and support you along the entire journey, helping you rebuild your life. Simply put, all of our resources are dedicated to adding life to years — and that’s the critical MedStar NRH difference.

John D. Rockwood President

Michael Yochelson, M.D. Vice President, Medical Affairs Chief Medical Officer

P.S. If you have a special concern or question, or if we can make your stay more comfortable in some way, please feel free to contact the Action Line, extension 71411.

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Your Guide to MedStar NRH

MedStar NRH Vision/Mission/Values

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Your Guide to MedStar NRH

MedStar NRH Vital Signs

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Your Guide to MedStar NRH

Introducing VIC
As we welcome you, we want to introduce you to an important member of the MedStar NRH Network. His name is VIC—short for Victory of the Human Spirit. He is the MedStar NRH Network’s official mascot and his roots go back to the very beginnings of the Hospital. VIC is modeled after the Victory of the Human Spirit sculpture created in 1986 for MedStar NRH by Danielle Bensky. The original sculpture can be found in the Victory Garden fountain. Each recipient of the Victory Awards®— an award that is presented each year to individuals who best exemplify exceptional strength and courage in the face of adversity—receives a reproduction of the Victory sculpture. VIC, wearing his name badge, is a regular presence throughout the MedStar NRH Network, reminding Team Members of the need to provide service excellence and to assist our patients in their efforts to live as independently as possible.

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Your Guide to MedStar NRH

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Your Guide to MedStar NRH

Getting Settled
The Admission Process
An Admissions representative will meet with you and your family, usually in your room, to verify information and ask you to sign necessary consent, financial, and other forms. An identification band will be placed on your wrist. Please leave the band on until you are released from the Hospital; if the band is lost or damaged, notify your nurse so that a new one can be provided.

Parking
The Admissions office will validate your family members parking on the day of admission and also on the day of discharge. MedStar NRH also offers discount parking options.

Parking Option One:
“Validation Stickers” are sold in books of 10 at the cost of $40.00 per book. Each Sticker is equivalent to $4.00 each vs. paying $12.00 per every 24 hours. Each time a visitor/patient enters and exits the parking garage, he/she will use one sticker. Once inside, the validation sticker will allow them to stay up to 24 hours without charge.

Orientation
On the day you are admitted to MedStar NRH, a nurse from your unit will orient you to your room and your unit, discusses the role of your nurse, and provides other information. Family members may be oriented at a later time if they are not available at the time of admission. Other members of your clinical team will also orient you about their roles and responsibilities early in your stay at MedStar NRH. If you have questions or concerns during your stay at MedStar NRH, talk with your nurse or the nursing manager on your unit. A nursing supervisor is also available at the Hospital 24 hours a day. During your stay you may have to be relocated to another room. Your nurse will advise if such a move becomes necessary.

Parking Option Two:
Visitors/Patients can purchase a “10 Day Keycard” that will allow them to have unlimited access to enter and exit the parking garage. The 10 Day Keycard is $45.00 for 10 consecutive days (each day is equivalent to $4.00 vs. $12.00 for all day access). There is a $5.00 deposit fee included for the visitor/patient keycard. On its final day of use, the keycard can be returned to the parking services office, and the $5.00 deposit fee will be refunded. To take advantage of either of these discount parking options, visit the AmeriPark Office, located in Parking Pavilion I or the Blue Parking, located directly to the right of the Hospital as you exit our lobby. Normal business hours are MondayFriday 7:00 a.m. - 4:30 p.m. You may pay with cash, check, or credit card (Visa, Master Card, or Discover) only with proper identification.

Nursing Assistance
Please familiarize yourself with the bedside call service equipment. When you push the button at your bedside, call lights are activated at the nurses’ station and outside your room. A nurse will respond to your call as promptly as possible. An emergency call system is also provided in the bathroom. Should you need help, pull the cord to signal the nurses’ station.

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Your Guide to MedStar NRH

Valuables
If you have brought any valuables with you, please call the security officer on duty at extension 71708. He or she will provide you with an envelope in which to store your items. Once the items are listed on the envelope, the security officer will ensure that the envelope is placed in the safe in the Cashier’s office, which is located in the lobby. The Cashier is open Monday through Friday, 9 a.m. to 4 p.m. The Hospital is not responsible for any lost or stolen items not deposited in the safe.

Action Line
We wish to make your stay at MedStar NRH as comfortable and pleasant as possible. Please call the Action Line, extension 71411, if you have any questions or wish to discuss any complaints or concerns. If you are ever unhappy with your care or something “does not feel right,” ask for the Nursing Manager or Nursing Supervisor or call the Patient Advocate at extension 71944.

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Your Guide to MedStar NRH

For Your Comfort and Convenience
Cashier
The Cashier, located in the lobby, accepts payments for outstanding balances on patients’ bills and provides a safe to hold your valuables while you are in the Hospital. Inpatients may cash one check for up to $25 per day with the cashier. The Cashier is open Monday through Friday, 9 a.m. to 4 p.m. Check-cashing hours are 11 a.m. to 12:30 p.m. and 3 to 4 p.m., Monday through Friday. It is closed on weekends. An ATM machine is located on the ground floor next to the vending machines. MedStar NRH Action Line at extension 71411. We are here to assist patients and families with questions and concerns about MedStar NRH’s policies, to facilitate problem resolution and to assist with special needs. MedStar NRH has a process to address complaints or grievances through the Patient Advocate which can be reached at extension 71944. If you feel that MedStar NRH has not addressed your concerns you may contact: The District of Columbia Government— Department of Health Health Regulation Administration Complaint 24 Hour Hot Line at: 202-442-5833 or The Joint Commission— Office of Quality Monitoring 1-800-994-6610 or www.jointcommission.org

Cultural Sensitivity
MedStar NRH is fortunate to enjoy broad cultural diversity among its patients and Team Members. The Hospital is committed to providing care in a manner that respects your culture and values. MedStar NRH can accommodate dietary requests, religious needs, or other requirements. For more information, call the ActionLine, extension 71411.

Grooming Services
Should you need any of the following services during your stay here with us, please contact any of the following companies and they will be happy to accommodate you at your convenience.

Patient Advocacy
All MedStar NRH Team Members have a responsibility to provide high quality, caring service to patients, family members, and other visitors. As part of our customer service efforts, each Team Member has been trained on courtesy behaviors and how to treat each individual with compassion, dignity, and respect. Should you have a concern about a team member, questions, concerns, comments, compliments, or a complaint please feel free to call

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Your Guide to MedStar NRH

Barbers, Hair Stylist, Manicures, Pedicures
This list has been created to provide services for the patients of MedStar NRH. If you are in need of these services during your stay as a patient at MedStar NRH, you or a family member may view the list to make arrangements by calling the numbers listed below for service. All service arrangements and payment agreements are strictly between the patient, their family member and the service vendor. You may prefer to contact your personal hair stylist or barber.

HAIRSTYLIST/BARBERS
VENDOR/NAME All For One Salon PHONE NUMBERS COMMENTS

Phone: 202-829-1433

69 Kennedy Street, NW Washington, DC 20011
Natural Motion

Licensed Hair Stylist, Basic Haircuts, Manicures and Pedicures Hair Stylist, some Pedicures and Manicures

Phone: 202-688-5896

5332 Georgia Ave., N.W. Contact: Liz Nolan
Sara M. Brown

6418 North Capitol Street, NW Washington, DC 20012

Phone: 202-882-9551 (Home) Shampoo, Cut and Shave 202-215-2618 (Cell) Available: Anytime Will visit hospital Rates not too high if parking ticket is validated. Phone: 202-396-5553 Basic Haircut and Shave Open Tuesday-Saturday 10-6

Benning Barber Shop

(Roger Bulls) 4228 Benning Road, NE Washington, DC 20019

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Your Guide to MedStar NRH

MedStar NRH on the Internet
MedStarNRH.org showcases our flagship hospital and our extensive network of outpatient centers, including which services are offered at each location. There are also bios of our many doctors and therapists, current hospital news and feature stories, extensive information from our research division and useful information for visitors and new patients.

MedStarNRH.org

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Your Guide to MedStar NRH

Suggested Web Site

MedStar NRH has provided links to Internet sites maintained by third parties, over which MedStar NRH has no control. MedStar NRH and its service providers do not endorse the content, operators, products or services of such sites, and is not responsible or liable for the services or other materials on or available from such sites. MedStar NRH shall not be liable, directly or indirectly, for any damage or loss caused or alleged to be caused by or in connection with use of or reliance on any such content, or products or services available on or through such sites.

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Your Guide to MedStar NRH

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Your Guide to MedStar NRH

Laundry
Washing machines and dryers are available on each unit for patients’ use. The machines are free of charge. However, you must provide your own laundry detergent available at the gift shop in the lobby of the Washington Hospital Center across the street. Ask your nurse about laundry facilities nearest your room.

Pharmacy
During your stay at MedStar NRH, a clinical pharmacist will consult with your physician in order to provide the most appropriate medications for you. A pharmacist is also available to discuss your medications with you upon request. The outpatient pharmacy, located on the first floor, is available for prescriptions, over-the-counter medications, and medical supplies you may need after you are discharged from the Hospital. The outpatient pharmacist is available to discuss these services with you upon request and may be reached at extension 71734.

Mail
MedStar NRH offers mail services to patients. To ensure that the letters and postcards you write are properly mailed, give them to your unit secretary or place them in the mailbox at the main entrance to the Hospital. Postage stamps are sold at the Cashier’s Office. Incoming mail will be delivered to your room daily and should be addressed to you at: Your name Your room number MedStar National Rehabilitation Hospital 102 Irving Street, NW Washington, DC 20010-2949

Private Rooms and Suites
Most patients at MedStar NRH stay in semi-private rooms, but private rooms and suites may be arranged as available at an additional daily charge. Private rooms and suites offer privacy as well as special, hotel-like accommodations. Private rooms may be arranged through the Admissions Office before you are admitted to MedStar NRH. If you wish to move to a private room after you begin your stay at MedStar NRH, please speak to your nurse.

Room Cleaning
Patients’ rooms are cleaned daily. If your room needs special cleaning attention at other times, please speak to your nurse or call housekeeping at 71090.

Service Animals
Service animals, such as Seeing Eye dogs, may accompany you or your visitors while at MedStar NRH. If you have a service animal that will accompany you while at MedStar NRH, a private room will be arranged for you at no extra charge.

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Your Guide to MedStar NRH

Television Service
Free color television service is available in every room. Closed-caption television is available for persons with hearing impairments. In private rooms, select “closed-caption” from the menu. In semi-private rooms, push the “closed-caption” button on the television set. Make sure you visit Channel 5, our Patient Education channel for more informatiom about your stay at MedStar NRH.

Telephones
Your room is equipped with your own telephone at no additional cost. Telephone amplifiers and handsfree portable telephone units are available for patients requiring such units. Please call the operator (0) for these devices. Pay phones are available on the ground and first floors as well. Patients may place outgoing calls 24 hours a day. Incoming calls are restricted between the hours of 10 p.m. and 7 a.m. To make calls within the Hospital: • Press 7 + the last four extension numbers. To make local calls outside of the Hospital: • Within D.C., suburban Maryland or Northern Virginia, press “9” + the area code + number you are calling. To make long-distance calls: • Press “0” to reach the MedStar NRH operator who will then connect you with an outside operator. Long-distance calls must be made collect, billed to your home number, or charged to your credit card.

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Your Guide to MedStar NRH

Television Channels
Channel Station/Network

4 5 6 14 15 16 17 18 20 21 22 23 25 27 28 30 31 32 33 34 35 40 41 42 43 44 45 46 47 48 50

TBS MedStar NRH Patient Education Channel CNN NBC 4 FOX 5 ABC 7 CBS 9 WDCA 20 WHMM 32 WETA 26 CW 50 Oprah Winfrey Network Channel Channel Channel Channel Newborn Channel Newborn Channel in Spanish Channel Turner Network Television TNT TLC Cartoon Network Disney Channel The Weather Channel Spike USA Network ESPN Sports Discovery Channel Arts & Entertainment (A&E) Univision UHF 30 Spanish Relaxation Channel MedStar Washington Hospital Center Channels

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Your Guide to MedStar NRH

Visitor Policies
MedStar NRH welcomes family members and friends who wish to visit during your stay with us. The emotional support visitors provide can be beneficial in the rehabilitation process. However, the following policies have been designed to ensure the comfort and well-being of all patients. • Visiting hours are noon to 9:00 p.m. weekdays and 11:00 a.m. to 9:00 p.m. weekends and holidays. Family members may obtain special visitor passes during other hours under certain circumstances such as when receiving caregiver training. • All visitors must register and receive a visitor badge at the Front Desk in the lobby. The badge must be visible at all times while in the Hospital. • If you have more than two visitors and if you are able to leave your room, you may visit in the Atrium areas on each floor, in the Dining Room, or in the Victory Garden, weather permitting. • Children are welcome visitors. Those under the age of 12 must be accompanied by a responsible adult at all times. • We ask that your visitors be considerate of your busy schedule during the day and not interfere with your scheduled therapy sessions. • Family members are encouraged to participate in therapy sessions as long as they do not interfere with the therapy. Below are hotels with preferred rates available to patients and their families who need accommodations while being treated at the hospital. Contact 202-877-2300 with any questions.
Holiday Inn Central

1501 Rhode Island Ave., NW Washington, DC 20005 Reservations: 202-483-2000 or 800-248-0016 e-mail rays@inndc.com Rate: $149 + tax, based upon availability www.inndc.com
Courtyard Marriott Embassy Row

1600 Rhode Island Ave., NW Washington, DC 20036 Reservations: 1-800-321-2211 Rate: Weekday (Sunday - Thursday night) $179 + tax, Weekend (Friday - Saturday night) $109 + tax, based upon availability
The Bloomingdale Inn Bed & Breakfast

2417 First Street, NW Washington, DC 20001 Reservations: 202-319-0801 Rate: $90-$179 + tax, based upon availability www.bloomingdaleInn.com Innkeeper@BloomingdaleInn.com
Carlyle Suites Hotel

Overnight Accommodations for Visitors
To arrange hotel accommodations, or other lodging for your family or friends, call Washington Accommodations at 202-289-2220.

1731 New Hampshire Ave NW Washington, DC 20009 Reservations: 1-866-978-2351 Rate: $129.00 + tax, based upon availability
Crowne Plaza Washington Silver Spring

8777 Georgia Ave Silver Spring, MD 20910 Rate: $99.00+ tax, based upon availability Reservations: 1-866-829-4126

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Your Guide to MedStar NRH

Food & Nutrition Services
Patients who are eating foods by mouth are visited by a host/hostess to obtain their menu choices. Your menu choices are obtained one day before that meal is served. So when you are visited on Monday you are making your selections for Tuesday’s meals. Depending on the diet prescribed by your physician or dietitian you will have two menu choices made available to you for each meal. Explanations of your diet may be found in the “About Your Meals” brochure or a dietitian will provide more in depth information regarding your diet. If you have any questions about this process your host, hostess, or dietitian will be more than happy to answer them for you. Meal delivery times vary based on your location in the hospital. The following list indicates when meals are scheduled to be served. If you have questions regarding your meal delivery times please contact the Diet Office at extension 71876.
Breakfast: 6:45 - 8:00 a.m. Lunch: 11:30 a.m. - 1:00 p.m. Dinner: 5:00 - 6:00 p.m.

Foods Brought from Home or Saving Food
We understand that sometimes you would like some food brought from home or may want to save an item for dinner that you weren’t able to eat at lunch. If food is brought from home it should be eaten immediately or refrigerated by a nurse. We want to decrease the likelihood of you getting sick from eating food that has not been stored properly. All patient food will be labeled with patient name, room number and dated. Patient food will only be saved in the fridge for 24 hours. Please DO NOT save foods after a meal. It is not safe to save items such as milk, yogurt, meats, sandwiches, fruit salads, and other perishable items because the food sitting out in unsafe temperatures could make you sick.

Guest Trays
Guest trays are available for visitors. The cost of a guest tray is $6.00; options available for guest trays are the same options available for the patients on that particular day. Please call extension 71876 to order a guest tray prior to the start time of the meal. When your meal is delivered payment will be obtained by the host or hostess.

Dining Room
With the approval of your rehabilitation care team you may eat in the Dining Room on weekdays for breakfast and/or lunch. The Dining Room is located on the Ground Floor here at MedStar NRH. The Dining Room is open Monday-Friday, 7:00 a.m. - 2:00 p.m. for breakfast and lunch. The fully accessible food service area offers an array of culinary selections including a salad bar, a deli, and The MedStar NRH Grill. The Dining Room is closed on weekends and holidays.

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Your Guide to MedStar NRH

Vending Machines
Vending machines are located on the ground floor near the Dining Room. The vending machines offer a host of different items, including pizzas, beverages and other snacks. It is a great option on the weekends when the Dining Room is closed. Also located in the vending area is an ATM if you need some cash.

Special Dietary Needs
Ask your dietician if you have any special dietary needs.

Other Campus Dining Options MedStar Washington Hospital Center
The Center Café, a large, full-service cafeteria, is located on the Ground Floor of the MedStar Washington Hospital Center. Follow the fork and knife signs on the ground floor to the cafeteria. Breakfast, lunch, dinner and snacks are available. The cafeteria is open every day from 6:15 a.m. to 8:00 p.m.

Atrium Café
The Atrium Café is open all week and located on the first floor near the East elevators. The Atrium Café serves specialty coffee drinks using Starbucks Coffee and other convenience food items and snacks. It is a great place to stop for a quick pick me up!

Physicians’ Office Building (POB)
Blimpie/Noble Roman’s Pizza is located in the Physicians’ Office Building South Tower (POB South) on the first floor. Follow the signs for the POB Entrance. A limited menu for breakfast is offered as well as a more extensive menu for lunch, dinner and snacks. Open 24 hours a day, Blimpie’s is closed from 2:00 a.m. to 6:00 a.m. on Sunday. Delivery is available at no additional charge in the morning and afternoon. Patients who wish to have Blimpie subs or pizza delivered to their rooms must have prior approval from their nurse. Payment at the time of delivery is required. Call 202-877-.7827 for delivery.

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Your Guide to MedStar NRH

Summary of Patients’ Rights and Responsibilities
MedStar National Rehabilitation Hospital wants you to receive quality care. As a patient at this hospital, it is important to realize that you have both rights and responsibilities. This summary of patient rights and responsibilities describes how you can participate in receiving quality care. For complete information regarding your rights and responsibilities you can call the Patient Advocate at extension 71944. Please feel free to discuss any concerns regarding your rehabilitation and treatment with your doctor or any of the clinical Team Members. If you feel your concerns are not adequately addressed, please contact the Patient Advocate at extension 71944. While you are a patient at our hospital, we want you to know what to expect from us.
As a patient, you are entitled to:

Treatment
Your Rights

• receive treatment regardless of race, color, sexual orientation, gender identity, disability, religion or any other discrimination prohibited by law • expect reasonable continuity of care and to be informed of available and realistic care options when acute rehabilitation is no longer appropriate • Information about pain, pain relief measures, and to have your pain evaluated and treated by concerned and committed Team Members • be free from the use of restraints unless clinically necessary
Your Responsibilities

Respect
Your Rights

• be treated with respect and courtesy • receive safe, considerate, ethical and cost effective medical care • have your individual cultural, spiritual and psychological needs respected • have your privacy and personal dignity maintained • be free from all forms of abuse, neglect and harassment • expect that information regarding your care will be treated as confidential • expect that visitation privileges will not be denied based on race, color, national origin, gender, religion, sexual orientation, gender identity or disability
Your Responsibilities

• follow your care givers’ instructions and help them in their efforts to return you to health • inform your care givers’ if you think there may be problems in following their instructions • participate in decision making about your medical care • recognize the impact of life style on your personal health

Advance Directives
Your Rights

• have an advance directive (living will and/or durable power of attorney for health care decisions) • obtain information regarding an advance directive • have your advance directive (if you have one) included in your medical record
Your Responsibilities

• respect hospital personnel • respect care givers’ efforts to provide care for
other patients

• inform the hospital if you have an advance directive • give the hospital a copy of your written advance directive (if you have one)

• respect hospital property • be considerate of other patients and to see that
your visitors do the same

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Your Guide to MedStar NRH

Information
Your Rights

Involvement
Your Rights

• understand your diagnosis and treatment, as well as the possible outcomes, risks and benefits of your care, and be informed of any unanticipated outcomes. • have information regarding your rehabilitation explained to your family member or other appropriate individual when you are unable to participate in decisions about your care • Access a foreign language or American Sign language interpreter and/or adaptive equipment (including TDDS) if needed • be advised of hospital policies, procedure, rules and regulations which may affect your care • obtain a copy of the MedStar Health Notice of Privacy Practices • request restrictions on certain uses or disclosures of your health information • choose how you receive your health information • know who was informed of your health information • be aware of any proposed hospital research in which you may be involved • be aware that the hospital’s Bioethics Committee is available to you to discuss ethical issues related to your care • understand that your care givers may be both teachers and students • know the names and titles of your care givers • see and obtain a copy of your medical records (in accordance with hospital policy and/or the law) • update your health record • review your bill and to have any questions or concerns you have adequately addressed

• be involved in decisions concerning your care • have your family members and/or others involved in decisions about your care • exclude your family members and/or others from participating in decisions about your care • discuss any treatment planned for you • give your informed consent or informed refusal for treatment • leave the hospital or request a transfer (in accordance with hospital policy and/or the law) • refuse to be treated by a student • consent or decline to participate in proposed clinical research
Your Responsibilities

• report any concerns about a lack of safe delivery in your care to your physician or the Nursing Director of your unit or call the Patient Advocate at extension 71944 • abide by hospital rules and regulations* • keep your appointments • pay your bills on time • inform the hospital if you believe your rights have been violated • If it is your custom to give gifts in appreciation for care or services, MedStar NRH’s policy states that perishable gifts of nominal value such as food, flowers and candy are acceptable. Gifts such as money or jewelry are in violation of the MedStar NRH code of conduct and team members who accept such gifts will be subject to discipline. Another option available to you is making a contribution to the Care Assistance Fund, in the Team Member’s name. *Failure to abide by MedStar NRH rules and regulations and meet your responsibilities, MedStar NRH reserves the right to enact appropriate administrative discharge.

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Your Guide to MedStar NRH

Advanced Directives/ Patient Self-Determination Act
MedStar NRH is committed to upholding the Patient Self-Determination Act, a federal law that requires hospitals to inform patients about their rights in directing future treatment. When you are admitted to MedStar NRH, you will receive information about your right to have a living will or durable power of attorney for health care. If you would like more information about advance directives, please ask your physician, social worker, or case manager.

Insurance Concerns
If you are a Medicare beneficiary and have concerns about an adverse decision related to your hospital coverage, you can contact the Delmarva Foundation for Medical Care at 1-800-645-0011. Concerns about coverage related to adverse decisions by other health insurance companies and HMOs can be directed to the following agencies based on where you reside: District of Columbia: Maryland: Virginia: 202-727-8000 410-528-1840 804-371-9691

Bioethics Committee
The MedStar NRH Bioethics Committee serves as a forum through which patients, families, and Team Members may discuss patient-related ethical issues or concerns in an open, non-critical way. If you wish to obtain an ethics consultation or if you have any questions related to ethics, please call the Bioethics Committee at 202-877-1465, and request a consultation with the Bioethics Committee.

You may also contact the Utilization Management Office here at MedStar NRH at extension 71907 for assistance related to insurance coverage and denials.

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Your Guide to MedStar NRH

Privacy
Privacy
We value the privacy of your medical information as an important part of our Adding Life to Years® pledge. We

are committed to protecting the privacy of your health information. We strive to use only the minimum amount of your health information necessary for the purposes described in the Notice of Privacy Practices you received upon admission. We collect information from you and use it to provide you with quality care, and to comply with certain legal requirements. We are required to maintain the privacy of your health information, and to give you this written notice of our legal duties, our privacy practices and your rights. We are required to follow the terms of our most current Notice.

When we disclose information to other persons and companies that perform services for us, we will require them to maintain your privacy. There are other laws we will follow that provide additional protections, such as laws related to mental health, alcohol and other substance abuse, and HIV/AIDS. (Please reference the Notice of Privacy Practices for further information regarding your privacy. If you did not receive a copy of the Notice, please call Admissions, at extension 71152.)

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Your Guide to MedStar NRH

Your Rehabilitation Team
During your stay at MedStar NRH, a team of professionals led by a physician will guide you in your rehabilitation program. Depending on your rehabilitation needs, your team may include the following professionals: Your physician continuously monitors your health and evaluates your physical capabilities. Many physicians at MedStar NRH are physiatrists—specialists in physical medicine and rehabilitation who are trained in disability assessment, medical complications of disability, and rehabilitation team management. We also have physicians in the specialties of internal medicine, rheumatology, orthopedic surgery, and neurology. The physician serves as the team leader responsible for therapeutic decisions regarding your care program. A Rehabilitation Nurse is available to you 24 hours a day, seven days a week. They assist you with activities of daily living, administer medications and treatments, teach you and your family about your disability and help you to integrate skills learned in therapy into your daily routine. The nurse contributes to your plan of care, identifies your needs and communicates this to the Nurse Coordinator. The Nurse Coordinator is assigned to a “team” of patients. Our nurse coordinator will be the liaison between you and your team. He/She will communicate to the team your nursing needs and bring back goals, plans and discharge information from team conferences. All teams meet daily, Monday through Friday.
Resident physicians (physicians who are partici-

pating in postgraduate medical training) may provide medical care, always under the close supervision of a MedStar NRH physician. Medical residents who work at MedStar NRH are in training for the specialty of physical medicine and rehabilitation or related fields. Your case manager and social worker assist you and your family throughout your stay so that a safe discharge plan can occur. The case manager coordinates and manages the services you receive and maintains relationships with insurers and external case managers, thereby enhancing the outcomes of your rehabilitation. The social worker or case manager works with you and your family to plan for your care and to explore resources available to you after discharge from the Hospital. Therefore, it is very important that you and your family be involved in this process. Your physical therapist assesses your movement abilities using specific testing procedures. Based on the results, the physical therapist designs a treatment program to maximize your movement and functional abilities. He or she works closely with you, your family, and the rehabilitation team to assist you in making the transition back to your new lifestyle. Your occupational therapist assists you in learning the skills and adaptations required for you to be independent, productive, and satisfied at home, in the workplace, and in the community. Occupational therapy activities focus on preventing, lessening, or overcoming disabilities. They may be as basic as bathing, dressing, or eating, or as complex as operating a computer, caring for your children, or managing personal finances.

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Your Guide to MedStar NRH

Your psychologist or neuropsychologist helps you to understand and adjust to your disability and works with you to promote healthy behavior. To better understand you, the psychologist may use a variety of methods including tests of coping style and thinking skills. The psychologist will likely meet with you for individual, family, or group psychotherapy. In addition, coping skills training such as biofeedback, computer-assisted neuropsychological rehabilitation, stress management, and pain control may be offered to you.

Your speech-language pathologist works to enhance your communication skills and helps you to be as independent and effective as you possibly can in getting your message across or listening to others. This may involve working to improve your voice, speech, language, cognitive, and conversational skills, or teaching you how to use gestures or computers. Another role of the speech-language pathologist is to help if you have difficulty with swallowing. Your therapeutic recreation specialist, when ordered by your physician, evaluates your leisure needs, abilities, and interests and works with you to develop a plan for how you can become active again. Specific leisure activities in both the Hospital and the community help you to regain as much independence as possible in your leisure pursuits. Your family and significant others are encouraged to participate with you. Your vocational rehabilitation counselor assists you in determining your vocational strengths and provides vocational guidance for employment or educational planning. Special services such as training in job-seeking skills and consultations with employers to encourage hiring or to discuss job modifications are offered to help you obtain employment. The counselor also coordinates school re-entry and accessibility issues as well as referrals to community-based vocational rehabilitation services when appropriate.

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Your Guide to MedStar NRH

The respiratory care practitioner uses evaluation and diagnostic techniques to assess your breathing system. Together with your physician, he or she performs therapy to resolve or prevent lung disease, strengthen breathing muscles, and improve your ability to breathe. The clinical dietitian helps you to meet all of your nutritional needs by formulating an individualized diet based upon your food preferences, your physical abilities, and any dietetic restrictions prescribed by your physician. The dietitian is also available to instruct you and your family on how to continue with any dietary restrictions after you leave the Hospital. The rehabilitation engineer helps to select, modify, and design adaptive aids for mobility, communication, vocation, recreation, and therapy. The prosthetist/orthotist fabricates, fits, and repairs adaptive devices such as artificial limbs (prostheses) and orthopedic braces (orthoses) and helps you with commercially available adaptive aids.

The clinical pharmacist consults with your physician on your medication needs and is available to consult with you concerning your medications. Outpatient pharmacy services are available for medications and supplies needed after you are discharged from the Hospital. The radiographer provides medical photographs in the form of radiographs and sonograms. These images are used by your physician as a diagnostic tool to determine the status of your health. During your stay you may also encounter students who are participating in professional training programs in medicine, nursing, or allied health fields. All students are closely supervised, and we hope their presence enhances the quality of your care. We appreciate your cooperation and collaboration with them while you are a patient at MedStar NRH.

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Your Guide to MedStar NRH

Patient Safety
Patient safety is very important to us and we are committed to providing care in the safest and highest quality manner possible. The most important thing you can do to ensure quality care and prevent medical errors is to be an active partner in your own health care. That means getting involved in your care and asking questions of your health care provider. We encourage you to use these tips. • Take notes in your patient guidebook (the blue binder); write down important things that your caregivers tell you about your condition.

Ask a family member or friend to be your advocate. • An advocate is a person who speaks up for you. • When you come to a hospital, you have many things on your mind and you may even be nervous, afraid, or in pain. Your advocate is there for you, asking questions that you might not think of during those times. • Your advocate will also be there for you when you go home. Make sure you help this person to understand the types of care you will need at home.

SPEAK UP for your safety!
Did you know that the most important member of your health care team is YOU? It’s true! To make sure that you get the most out of your stay at MedStar NRH, you must be an active partner in your care. Get involved. Ask questions.

SPEAK UP!

Know what medications you take, the dosage as
well as why and when you take them. • Ask your caregiver how the medication works to help you. • Ask your doctor if the medication can cause side effects—things that make you feel bad in any way. • Make sure your doctors and nurses know if you have any allergies. Medications are made from many things, and your doctor will know if a medication is safe for you to take. • Be sure to tell your doctor about anything you may be taking like vitamins, herbal or diet pills, and over-the-counter medications (example, for things like colds or arthritis pain). These things can cause problems when taken with prescription drugs, so your doctor needs to know about them.

Speak up if you have a question or a concern,
especially if you do not understand something. • Do not be afraid to talk to your doctor, nurse or therapist about your medicine, your therapy or your treatment. These people are here to help you; you will not get in trouble for asking questions. You have a right to know! • Do not be afraid to gently remind any caregiver to wash his or her hands before caring for you.

Pay attention to the care you are receiving.
• Tell a caregiver right away if you think you have been confused with another patient. • Make sure that the caregiver checks your I.D. band before giving you medications or treatments. • A caregiver should knock and then tell you his or her name when he or she comes into your room. The caregiver’s I.D. badge should be easy to see.

Understand all documents you sign.
• Make sure you read and understand all forms before you sign them. Your caregivers will be
happy to answer questions if you do not understand.

Educate yourself about your medical condition
(diagnosis). • Get as much information as you can about your condition. Use the MedStar NRH Patient Education Center on the ground floor and ask your caregivers for any written information they may have.

• At MedStar NRH, we respect that informed consent— meaning that you have been told about a procedure and given the right to say yes or no to it—is a federal law.

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Your Guide to MedStar NRH

Participate in all decisions about your care and
treatment. • Remember, you are the most important part of your health care team! • You and your doctors should agree on what will be done during each step of your care. If you are confused, do not be afraid to ask questions. • The types of questions you must ask: Why is this test needed? What were the results of the tests? What should I do now? What should I not do? • Never be afraid to meet with another doctor—to get a second opinion—if you are not sure about your condition or what might be the best treatment for it. All of these things will help keep you safe during your stay at MedStar NRH. Please do your part to make sure these things are done. And remember, if you have a concern about patient safety, we want you to SPEAK UP with any MedStar NRH Team Member, the nursing manager on your unit, or the Patient Advocate at extension 71944. If you are still concerned, please speak with a member of the Hospital Administration. If you still think there is a problem, you have the right to contact the Department of Health at 202-442-5833 or The Joint Commission (TJC), a health care group that makes sure hospitals like MedStar NRH meets very high standards of care. Their number is 202-442-5833. Remember…for your safety and the safety of those around you…SPEAK UP!!!

Identification Band
An identification band was placed on your wrist when you were admitted to MedStar NRH. Please leave the identification band on until you are discharged from the Hospital. If the band is damaged or lost, please notify your nurse so that a new one can be provided.

Infection Control
MedStar NRH has a policy to practice “standard precautions” when caring for all patients. Standard precautions protect patients and Team Members from the spread of infectious diseases. Team Members wear personal protective equipment such as gowns and gloves when the potential for contact with blood/body fluids is likely. If you have questions about standard precautions, talk with your primary nurse or with the nurse manager on your unit.

Handwashing
• Wet hands with warm water. • Dispense one measure of soap into palm. • Lather by rubbing hands together for 15 seconds, covering all surfaces of hands and fingers. • Rinse hands thoroughly • Dry hands with paper towel. • Use a towel to turn off faucet. • Discard towel in the trash container. • If hands are not visibly soiled, use an alcoholbased hand rub for routinely decontaminating hands. You have a RIGHT to clean hands. Please remind everyone to sanitize or wash their hands when entering and exiting your room.
VIC says zap those germs by washing your hands

Alcohol and Illegal Drugs
The Hospital strictly forbids the possession of alcohol and illegal drugs in the building or on its grounds.

Fire Drills
Hospital personnel conduct frequent drills to test the efficiency of fire programs. Patients are not required to participate and you should not be concerned about the sounding of the alarm system during such drills. Unless told otherwise, you and your visitors are asked to stay in the room during the drill. You will be notified and assistance will be provided in the event of a real fire or other emergency.

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Your Guide to MedStar NRH

Keep yourself safe
• Be sure to share your health information. • Learn all that you can about your health problem. (Use the Patient Education Center located on the second floor.) • Be sure to SPEAK UP, or have your family or a friend speak for you. • Do not be afraid to ask questions. It’s OK to ask! • Ask about each medication you are given. • Ask everyone to check your hospital arm band EVERY time you get medicine or a treatment. • Ask about your rights. • Ask your doctor and your nurse about your plan of care. • Ask about your test results. • Ask anyone to see identification if you do not recognize him or her, or if that person does not have an ID badge. • Ask sick friends and relatives not to visit while you are in the hospital • If you are unhappy with your care or if something “does not feel right,” ask for the nursing manager on your unit or the Nursing Supervisor, or call the Patient Advocate at 202-877-1944.

Warning Signs That A Patient May Be Getting Sicker:
• Changes in the pulse or breathing rate • Changes in blood pressure • New symptoms of pain, or new difficulty moving • Changes in urinary output • Confusion or other mental status changes • When something just does not look or seem right

What to Do:
1. Notify a MedStar NRH Team Member (for example, a nurse, tech, or therapist) 2. Call the Nursing Station (use the Call Bell) OR 3. Call a Rapid Response by Dialing #2222

Moving about safely
• When you are in the hospital, you may be on medications that confuse you or make you dizzy. • You are also in a different place, so ask to have a light left on in the bathroom or a nightlight in the room • If you feel weak or dizzy or sleepy, please ask for help to get out of bed. • If you have been told to ask for assistance to get out of bed, please do so. • Remember it is our job to help you.

Rapid Response If You Notice a Change in The Condition of a Patient:
A Rapid Response Team is a group of nurses and doctors who are trained to help when there are signs that a patient is getting sicker. The purpose the Team is to help before there is a medical emergency.
Changes in Condition can happen at any time a patient is in the hospital. Family members may be the first to detect these changes

Medications
If you have brought medications with you, please give them to your nurse. They will be held for safekeeping. While you are hospitalized, your physician will order any needed medications from the Hospital pharmacy.

Tobacco Free Policy
MedStar NRH is a tobacco free environment. Thank you for not using any tobacco products in the hospital or on the grounds.

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Your Guide to MedStar NRH

Patient Safety BINGO
Be our Partner in Patient Safety. When you observe or do one of the actions on this BINGO sheet, cross it off. When you have scored a BINGO, turn your sheet into the unit clerk for recognition. Thanks for being our Partner in Safety.

BE INVOLVED

BE INFORMED

BE INVESTED

B
My nurse checked my ID bracelet.

S
I asked about the side effects of my medications. My therapist explained my treatment.

A
I saw my therapist wash their hands.

F
I called for help before getting out of bed.

E
I asked my doctor about my test results.

I know why I am taking my medicines.

The transporter checked my ID before I went for a test.

I voiced my opinion about my care to my doctor.

My Nurse checked my skin.

I have been asked to call for help before using the bathroom. I have told my doctors and nurses about my allergies. I am not afraid to ask questions of my doctors or nurses about my care.

I saw my doctor wash their hands.

FREE SPACE
I asked my doctor to explain something to me. I make sure I can reach my phone, and other objects before staff leave my room.

My nurse told me about my vital signs.

I have been offered the flu vaccine in the past year.

I called for help before getting out of bed.

I know why my ID is being checked.

I ask my visitors to wash their hands.

I watch to make sure my blood or urine sample is labeled with my name.

I reminded a care provider to wash their hands.

I wait for help before I get out of bed to get to the bathroom.

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Your Guide to MedStar NRH

Research
MedStar National Rehabilitation Hospital (MedStar NRH) is a rehab hospital, but it is also a research institution with many research activities aimed at improving patient care. Some of these studies might potentially improve your recovery; others may improve care for those in the future. While you may not be ready to participate in research studies during your stay at MedStar NRH, we want to be able to inform you about research studies that you might be interested in. Upon your arrival at MedStar NRH, you will be approached by an Admissions Representative asking you if you wish to sign a green form which will include you in the Advanced Recovery Registry. This will allow us to identify whether you are eligible for rehab research projects. We encourage you to enroll, remembering that you can always decline participation in research activities should a program be identified and presented to you.

KEY POINTS REGARDING THE ADVANCED RECOVERY REGISTRY
• Your decision will not affect the care you receive during your stay. • Signing the green form does not automatically enroll you in a research study; it simply allows us to tell you about projects you might be interested in. • Your information will be kept confidential and not shared with anyone beyond the project staff. • If a researcher contacts you regarding a potential study, you do NOT have to participate in the study unless you want to. MedStar NRH’s research activities are an important part of our goal of Adding Life to Years©. Thank you for considering being a part of our research activities and for choosing MedStar NRH for your healthcare needs. If you have any questions or would like more information, please contact Inger Ljungberg at 202-8771694 or inger.h.ljungberg@medstar.net

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Your Guide to MedStar NRH

Special Equipment*
Assistive Devices
During your rehabilitation program, your physician and clinical team may recommend the use of an assistive device that can help bridge the gap between your physical abilities and your goals. Such devices may include a wheelchair, cane, reacher, or hand splint to aid you in holding a shaver or toothbrush. Your team may recommend a specific “offthe-shelf ” product or may adapt an existing product to meet your individual needs. In some cases, a rehabilitation engineer or another clinician may design and manufacture an item that will help you become as functional and independent as possible.

Orthoses, Prostheses, and Durable Medical Equipment
As a convenience to MedStar NRH patients, orthoses and prostheses are available through MedStar Nascott Rehabilitation Services. For more information, please call extension 71497. All home medical equipment needs and specialty wheelchairs are provided through medical equipment companies that are providers for your specific insurance company or Medicare/ Medicaid suppliers. A durable medical equipment coordinator is available at extension 71822 to assist you in this process.

Technology Demonstration Center
To facilitate patient care and share information about products, the GEICO Technology Demonstration Center offers patients, family members, clinicians, and others the opportunity to see assistive technology. This center is located in the Christoph Ruesch Research Center on the first floor. For further information or to schedule an appointment to see the technology on display, call extension 71932.

*If your insurance company denies a required piece of medical equipment based on medical necessity, your Case Manager may assist you in applying for coverage under the MedStar NRH "Care Assistance Program."

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Your Guide to MedStar NRH

Special Programs and Facilities
Evenings, Weekends, and Holidays
Evenings, weekends, and holidays are usually more quiet than weekdays at MedStar NRH, but activities are often planned by Team Members and volunteers for patients’ enjoyment. Events are publicized in the Weekly Activities & Events Calendar that is posted by the elevators. In addition, members of the Hospital’s Board of Associates, together with Team Members and volunteers, coordinate the celebration of holidays throughout the year by delivering special gifts to patients. Resources include the following: • Books, videos, magazines, brochures, and access to websites • Team Members who are familiar with the resources and technology The Center is located on the second floor at the entrance of the Physical Therapy & Cardiac Gym.

Independence Square®
Independence Square®, the occupational therapy center, is a representation of community settings designed to teach patients the skills needed for independent living. Using this simulated “real world” environment, MedStar NRH occupational therapists and other clinicians are better able to gauge whether or not patients are ready to leave the hospital environment, to evaluate progress and areas requiring further work, and to plan for adaptations and/or assistance that may be needed at home. Thus, Independence Square® will help to ensure a successful and smooth transition from hospital to home.

The Dion Johnson Patient Education Center—Second Floor
The Dion Johnson Patient Education Center provides patients and their families with access to a wide variety of information relating to specific disabilities, recreation and vocational opportunities, and community resources.

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Your Guide to MedStar NRH

Spiritual Care
MedStar NRH Spiritual Care Services help to meet the religious and spiritual needs of patients and family members through regularly scheduled worship services, pastoral visitations, sacraments and discussion groups. Our Chaplain is available to meet with patients and their families to provide pastoral support and assist in coping with their situations. Please make referral by calling the office at extension 71585. The Chaplain is available for inpatients, outpatients, visitors and Team Members. Patients may request a Chaplain for any reason and at any time.

Sports and Recreation Activities
MedStar NRH is proud to serve as the official Washington host for U.S. Paralympics. Sponsored by the U.S. Disabled Athletes Fund and the National Recreation and Parks Association, U.S. Paralympics is a national, community-based sports program for persons with physical disabilities. This program offers opportunity for physical activity that may include wheelchair basketball, tennis, quad rugby, sledge hockey, power soccer, and other sports. MedStar NRH sponsors teams made up of individuals with various disabilities who live in the community, including former patients. MedStar NRH also offers information and access to downhill skiing, golfing, camping, wilderness adventures, bicycling, water activities and other sports and recreation activities. These opportunities are designed to introduce newly disabled persons to adapted leisure activities and to help those who are more experienced improve their skills. For further information check with a therapeutic recreation specialist at extension 71420.

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Your Guide to MedStar NRH

The Exxon-Mobil Fitness Court
This multi-purpose tennis and basketball court, donated by Exxon-Mobil Corp, is located next to the parking garage on the west side of the Hospital.

Support Groups
MedStar NRH sponsors or hosts a number of support groups for persons with disabilities and their families. Current inpatients, outpatients, and persons with disabilities in the community are welcome to participate in support group meetings. For further information, call the contact person listed or talk with your case manager or social worker.

The Ruth S. Willoughby Playground
This wonderful playground has been thoughtfully designed to be fully accessible to children of all abilities. Our youngest patients and their families benefit from an inspiring, colorful and inviting outdoor play area created to enhance their physical, mental, social and emotional well-being. Our therapists incorporate the playground into rehabilitation sessions for our young patients in ways that makes the hard work of therapy seem more fun. The playground is a gift from the Ruth S. Willoughby Foundation.

The following support groups are offered:
MedStar NRH Amputee Support Group: A

support group for Amputees and their family and friends. The group meets the 2nd Saturday of each month from 4 p.m. - 5 p.m. in the New Value Conference Room (Ground Floor) of MedStar National Rehabilitation Hospital. For more information, please contact the information line at 202877-1501.
Brain Injury Association of D.C. Support Group:

A support group for survivors of brain injuries as well as their family and friends. Meets the 3rd Wednesday of every month from 5:30 - 7:30 p.m. with guest speakers presenting at each meeting. The group provides advice for family/friends/ survivors on different topics, such as transitioning back to school, in order to help survivors get back into their regular routines. Contact Ellen Ramsay at 301-6414793.
Cardiac Support Group: A support group for indi-

viduals who have had open heart/major cardiac surgeries. It is held every Wednesday from 1:30 - 2:30 p.m. Family members of victims are allowed and encouraged to become a part of this support group. Contact Lorraine Vinci at 202-877-1936 if you have any questions.

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Your Guide to MedStar NRH

Comeback Club: A support group for stroke

Women's SCI Support Group: Allows women to

survivors, family and friends. Meets the 4th Monday of each month from 1:00 - 2:00 p.m. in the Hospital. For more information, call the Speech Language Pathology Service at 202-877-1440.
Community Connections at MedStar NRH Spinal Cord Injury Group: A support group for individ-

discuss a range of topics from the role of women in their families and the impact of their injury, to sexuality and sports. This group meets Wednesdays at noon. Contact Melissa Meuller at 202-877-1923 for more information and meeting location.

Victory Garden
The Victory Garden offers an outdoor environment designed for daily therapy and relaxation. Located on the east side of the building, the Victory Garden was carefully planned to incorporate a variety of surfaces, inclines, stairs, and a fitness track where patients may practice mobility and other skills. In addition, it provides an aesthetic, natural setting where patients may visit with family and friends. The Victory Garden is open seven days a week.

uals with spinal cord injuries and their families and friends meets the 2nd Wednesday of the month from 4:30 - 6:00 p.m. in the 2 West Atrium. For more information, call Melissa Mueller at 202-8771911.
Support Group for Latino Patients and their Families: This group is designed for people who

have suffered a stroke or other injury to the brain and are seeking support while regaining independence and returning to activities of daily living prior to the injury. Meets at MedStar NRH in the New Value Conference Room, Ground Floor on the 3rd Wednesday of each month from 5:30 – 7:30 p.m. Drinks and snacks provided. For more information contact Ilana Oliff 202-877-1452 or ilana.f.oliff@medstar.net.
Relapse Prevention Group: A support group for individuals who have had problems with substance abuse/dependence that may have contributed to their physical/mental disability. It is open to both in-patients and out-patients, and is held every Friday between 3:00 - 4:00 p.m. Contact Dr. Sam Gordon at 202-877-1923. Spinal Cord Injury Support Group (Inpatient): A

Volunteer Services
Specially trained volunteers provide important services as part of the MedStar NRH team. For example, members of the Junior League of Washington provide bingo Wednesday evenings between September and May. Members of the Telephone Pioneers of America staff the Front Desk in the lobby to answer visitors’ questions. Other volunteers work in therapy areas, administrative offices, and in other capacities. For information on volunteer opportunities, call the Volunteer Services Office, extension 71010.

support group designed for psychological/emotional support for victims of Spinal Cord Injury. Held in the 2 South Conference room on Fridays from 1:30 - 2:30 p.m. Family members of victims can partake since this group is intended to educate coping skills/resources available to patients and families. Contact Lorraine Vinci at 202-877-1936.
Urban Re-Entry Group: For individuals with vio-

lently acquired disabilities. Held every Tuesday from 1:30 - 2:30 p.m. Helps with community re-integration. Contact Dr. Sam Gordon at 202-877-1923.

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Your Guide to MedStar NRH

Transportation and Parking
Getting To and From MedStar NRH
MedStar NRH is convenient to reach by car or public transportation. Tape-recorded directions to the Hospital may be obtained by calling 202-877-1726.

Parking
Parking is available 24 hours a day, seven days a week, in Hospital Parking Garage (Blue Parking) adjacent to MedStar NRH. Parking is also available in Physicians Office Building Parking Garage (Yellow Parking) next to the Physicians Office Building across the street during normal business hours.

By Taxi
You or your visitors may call a taxi to pick you up at MedStar NRH by using the dedicated taxi phone located at the Transportation Desk in the lobby.

Parking Fees
Hourly parking rates are posted. Frequent visitors to MedStar NRH may purchase discounted parking at the parking garage office. Call extension 71708 for details.

By Metrorail
MedStar NRH offers a free shuttle bus between the Brookland/Catholic University station (Red Line) and the Hospital, as well as the Columbia Heights Station (Green/Yellow Line) and the Hospital. You may obtain a copy of the shuttle bus schedule from the Front Desk in the lobby.

Handicapped Parking Spaces
Designated spaces on the ground floor of the garage adjacent to MedStar NRH are available to persons with vehicles bearing handicapped license plates, decals, or permits. The garage clearance is six feet nine inches. If all spaces are occupied, ask a parking attendant for assistance. Handicapped-designated spaces for cars and oversized vans are also available in the parking garage across the street (Physicians Office Building Parking Garage).

By Metrobus
Metrobuses regularly pick up and drop off passengers at the MedStar Washington Hospital Center’s outpatient entrance.

Fire Lane
Visitors may not park in the driveway in front of the building, which is designated for pick up and discharge purposes only. Vehicles parked in the driveway block the fire lane in front of the building and impede movement of official Hospital vehicles. Vehicles parked in this area or in other areas not designated for parking are subject to towing. Your cooperation is greatly appreciated.

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Your Guide to MedStar NRH

MedStar NRH

MedStar NRH
MedStar WHC

CNMC

MedStar NRH MedStar WHC CNMC

MedStar National Rehabilitation Hospital MedStar Washington Hospital Center Children’s National Medical Center

37

Your Guide to MedStar NRH

MedStar MedStar National National Rehabilitation Rehabilitation Hospital Hospital

MedStar Washington Hospital Center

MedStar National Rehabilitation Hospital Campus Map

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Your Guide to MedStar NRH

Giving Back
There are many different ways to give back to MedStar NRH. Almost every individual and family can find a program that suits their interests and resources. Opportunities for giving include: For more information on the Renoir Society and planned giving at MedStar NRH, please contact Philanthropy at 202-877-1776.

Special Events Annual Fund
Each year, friends of MedStar NRH are asked to make donations of any amount to help develop services and maintain or improve our facilities. These funds also help to raise money for Adaptive Sports events, the Victory Garden and the Patient Care Assistive Fund which provides rehabilitative care and equipment to pediatric and adult patients in need. To make a gift, call 202-877-1774. You may support MedStar NRH by participating in special events such as the annual Gala Victory Awards®, and the Super H 5K Run, Walk and Wheel.

Stephen Hopkins Society
To become a member of this Society, you agree to contribute $1,000 or more per year. Please contact the Philanthropy Office at 202-877-1776 for more information.

Renoir Society
Since its founding in 1986, philanthropy has played a vital role in enabling MedStar NRH to create, enhance and sustain vital services and programs for our patients and their families. While a gift today is always appreciated, there are numerous estate, financial and tax-planning strategies such as charitable gift annuities, trusts and bequests that may be the best way for donors to support MedStar NRH. Indeed, many of these planned gifts may benefit you while providing for the success of MedStar NRH and our wonderful patients for many years to come. The Renoir Society at MedStar NRH, named after the famous French impressionist painter PierreAuguste Renoir, honors donors who have made a commitment to support the future of MedStar NRH with a planned gift. Renoir left a legacy of beauty and inspiration to the world through his art in spite of the physical challenges he faced. His passion for life mirrors the mission of MedStar NRH — Adding life to years® — and we invite you to share in the future of MedStar NRH as a member of the Renoir Society. If you have already made the commitment to provide for MedStar NRH in the future, we would love to know so that we may include you as a member of the Renoir Society.

Volunteering
Contribute your time and talent as a MedStar NRH volunteer. Opportunities range from providing assistance to patients to providing administrative support to Team Members. For further information contact Volunteer Services at 202-877-1010.

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Ground Floor

Engineering & Maintenance

MARKETING & STRATEGIC DEVELOPMENT/ PHILANTHROPY

Your Guide to MedStar NRH

40
Meditation Room

ADMISSIONS

First Floor

OUTPATIENT CENTER FOR ORTHOPEDIC REHABILITATION (OCOR)

RESEARCH ANNEX

HAND CLINIC

Cashiers

Registration

OCOR Registration OUTPATIENT THERAPY AT IRVING STREET
Atrium Cafe

Your Guide to MedStar NRH

SEATING CLINIC AREA

BUSINESS DEVELOPMENT & RECRUITMENT

RUTH S. WILLOUGHBY PLAYGROUND

MedStar Washington Hospital Center Physicians’ Office Buildings

VICTORY GARDEN
1023 1024 1027

OCOR Waiting Room

41

CARDIAC/THERAPY GYM

Second Floor

2309

2308

PT/OT STAFF OFFICE

2330
2318

2-NORTH CONF. ROOM 2320 MEDICAL EDUCATION & RESIDENT TRAINING SUITE

Mother’s Nursing Station

2151

CARDIAC REHAB

2134

2103

Your Guide to MedStar NRH

SPINAL CORD INJURY & CARDIAC REHAB PROGRAM

Storage 2104

42

National Center for Children’s Rehabilitation (NCCR)

Bridge to MedStar Washington Hospital Center (for use by Patients and Chaperones only)

Third Floor

Your Guide to MedStar NRH

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NCCR NURSING STATION

Your Guide to MedStar NRH

About MedStar NRH
Consistently ranked as one of the top rehab hospitals in the annual “America’s Best Hospitals” issue of U.S. News & World Report, MedStar National Rehabilitation Hospital is the largest, free-standing, comprehensive rehab hospital in the WashingtonBaltimore area. Since opening its doors in 1986, MedStar NRH has grown from a single hospital into MedStar National Rehabilitation Network offering inpatient, day treatment, and outpatient programs specifically designed for the rehabilitation of individuals with disabling injuries and illnesses. Centers for Excellence include Brain Injury, Spinal Cord Injury & Disease, Stroke Recovery, Cardiac, Orthopedic and Pediatric Rehab, through the National Center for Children’s Rehabilitation (NCCR), a joint service of MedStar NRH and Children’s National Medical Center. For your convenience, over thirty MedStar NRH outpatient centers are located throughout the District of Columbia, Maryland and Northern Virginia. MedStar NRH is fully accredited by The Joint Commission and CARF, the Commission on Accreditation of Rehabilitation Facilities. MedStar NRH has CARF specialty program accreditation for the Spinal Cord Injury, Brain Injury and Stroke Recovery Programs. Visit our website at medstarnrh.org. MedStar NRH is a proud member of MedStar Health, parent company to MedStar Franklin Square Medical Center, MedStar Georgetown University Hospital, MedStar Good Samaritan Hospital, MedStar Harbor Hospital, MedStar Montgomery General Medical Center, MedStar St. Mary’s Hospital, MedStar Union Memorial Hospital, MedStar Washington Hospital Center and Visiting Nurses Association.

MedStar National Rehabilitation Hospital does not discriminate on the basis of race, color, gender, national origin, sexual orientation, religious creed, age, handicap, or disability in employment of personnel or in admission, placement, treatment, or referral of patients.

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Your Guide to MedStar NRH

Frequently Called Numbers
Extension

ActionLine ......................................................................................................................................................71411 Administration ...............................................................................................................................................71010 Admissions Office ..........................................................................................................................................71152 Care Coordination (Case Managers/Social Workers) ..................................................................................71012 Cashier ............................................................................................................................................................71949 Chaplain..........................................................................................................................................................71585 Communications & Development ................................................................................................................71776 Engineering and Maintenance.......................................................................................................................71054 Food & Nutrition Office ................................................................................................................................71876 Front Desk (Security & Reception)...............................................................................................................71708 International Office........................................................................................................................................71010 Main Number (voice—24-hours).................................................................................................................71000 Media Relations..............................................................................................................................................71773 Medical Director ............................................................................................................................................71141 NASCOTT ......................................................................................................................................................71497 MedStar NRH Rehabilitation Network at Irving Street ..............................................................................71760 Nurses’ Stations 2-West.........................................................................................................................................71593/71594 2-East ..........................................................................................................................................71596/71597 3-West (Children’s Unit).......................................................................................................................71397 3-East .....................................................................................................................................................71584 Occupational Therapy ...................................................................................................................................71531 Outpatient Center for Orthopaedic Rehab (OCOR)...................................................................................71566 Parking Information ......................................................................................................................................71708 Patient Accounts.............................................................................................................................................71170 Patient Advocate.............................................................................................................................................71944 Pharmacy ........................................................................................................................................................71734 Physical Therapy ............................................................................................................................................71530 Physician Services...........................................................................................................................................71621 Psychology ......................................................................................................................................................71120 Rehabilitation Engineering.................................................................................................................71085/71965 Research Center..............................................................................................................................................71932 Security ...........................................................................................................................................................71708 Speech-Language Pathology ..........................................................................................................................71440 Television Repair ............................................................................................................................................71059 TDD—24 hours .............................................................................................................................................71450 Therapeutic Recreation..................................................................................................................................71420 Vocational Rehabilitation ..............................................................................................................................71198 Volunteer Services ..........................................................................................................................................71010

45

Your Guide to MedStar NRH

A
about MedStar NRH 44 accommodations, family/visitors 16 ActionLine 7 admissions process/arriving 6 advance directives 19 alcohol/drugs 27 annual fund 39 assistive devices 31 Atrium Café 18

F
fire drills 27 fire lane 36 floor plans 40-43 food and nutrition services 17 frequently called numbers 45

G
giving back to MedStar NRH 39 grooming services 8

B
barbers 9 bioethics committee 21 buses 36

H
hair stylists 9 hand washing 27 holidays 32

C
campus map 38 care pages 11 case managers 23 cashier’s office 7, 8 chaplain 33 check cashing 8 clinical dietitian 25 complaints 8 cultural sensitivity 8

I
identification band 6, 27 illegal drugs 27 Independence Square® 32 infection control 27 insurance 21

L
laundry 13

D
dietitian 25 diets/dietary requests 18 dining, in-room 17 Dining Room 17 Dion Johnson Patient Education Center 32 directions 36 durable medical equipment 31

M
mail 13 maps 37 meals 17 medications 28 MedStar NRH Vision/Mission/Values 2 MedStar NRH Vital Signs 3 MedStar NRH on the internet 10 Metrobus 36 Metrorail 36

E
emergency call system 28 ethics 21 evenings 32 exxon-mobil fitness court 34

N
nurse (see rehabilitation nurse) 23 nursing assistance 6

46

Your Guide to MedStar NRH

O
occupational therapist 23 orientation 6 orthoses 25, 31 orthotist 25 outpatient services 13, 34, 44

S
security 7 service animals 13 smoking 28 social media 12 social worker 23 special events 39 speech-language pathologist 24 spiritual care 33 sports and recreation activities 33 sports facilities 33 standard precautions 27 stephen hopkins society 39 support groups 34

P
parking 6, 36 patient advocate 7, 8, 19 patient education center 32 patient safety bingo 29 parking validation 6 patient rights and responsibilities 19 patient safety 26 Patient Self-Determination Act 21 pharmacy 13, 25 physical therapist 23 physician 23 postage stamps 13 privacy 22 private rooms 13 prostheses 25, 31 prosthetist 25 psychologist 24

T
taxis 36 technology demonstration center 31 telephones/telephone calls 14 telephone numbers 45 television channel listing 15 television service 14 therapeutic recreation 24, 33 therapeutic recreation specialist 24 tobacco free policy 28 transportation 36

R
radiographer 25 rapid response team 28 rehabilitation engineer 25 rehabilitation nurse 23 rehabilitation team 23 religious needs 33 renoir society 39 research 30 resident physicians 23 respiratory care practitioner 25 room cleaning 13 ruth s. willoughby playground 34

V
valuables 7 vending machines 18 VIC 4, 5 victory garden 35 victory society 39 visitor policies 16 vocational rehabilitation counselor 24 volunteer services/volunteers 35, 39

W
website 10 weekends 32 welcome to MedStar NRH 1 worship services 33

47

Your Guide to MedStar NRH

102 Irving Street, NW Washington, DC 20010-2949 202-877-1000 202-877-1450 (TDD) MedStarNRH.org

MedStar NRH is accredited by:
The Joint Commission CARF, The Rehabilitation Accreditation Commission

© 2012 by MedStar National Rehabilitation Hospital

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