Skilled NurSiNg uNitInformation for Patients and Families

Catskill Regional Medical Center68 Harris Bushville RoadHarris, NY 12742845-794-3300

Grover M. Hermann Hospital Division8881 NYS Route 97Callicoon, NY 12723845-887-5530

www.crmcny.org

Catskill

Welcome to Catskill Regional Medical Center’s Skilled Nursing Unit (SNU). Thank you for choosing us for your healthcare needs.

Whether you’re here for a short-term rehabilitation stay or for long-term care, we are committed to promoting the highest level of independence and the best medical care in a home-like setting. Our dedicated team will work with you to develop an individualized plan to meet your specific needs and goals.

This booklet provides an overview of our services and what you can expect during your stay at Catskill Regional Medical Center.

Our team is happy to answer any questions or address any concerns you may have. We are happy to have the opportunity to serve you.

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TABLE OF CONTENTSAdvanced Directives 2Banking and Financial Needs 2Beauty Parlor Services 2Care Planning 2Clothing 3Complaints 3Contacts 3Emergency Situations 5Laundry 5Locked Storage 5Mail 5Morrison Senior Living - Your Dining Experience 6Nursing Services 8Personal Possessions 8Pets 9Physician Services 9Recreation 10Religious and Spiritual Services 10Room Changes 10Safety 10Smoking 11Social Work 11Telephone Services 11Therapy Services 12Visiting Hours 12Voting 12

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Advanced Directives

We recognize your right to formulate advanced directives to accept or refuse medical treatment, including life-sustaining treatment. the Skilled Nursing unit will honor healthcare decisions in accordance with New York State law. Such decisions will be documented on a Medical Orders for life Sustaining treatment (MOlSt) form whenever possible.

We encourage each resident to designate a Health Care Proxy, which allows you to appoint someone you trust to make healthcare decisions if you are unable to speak for yourself. Please contact the social worker at ext. 2558 or 2193 if you would like more information about completing a Health Care Proxy.

Banking and Financial Needs

If desired, you can set up a personal, interest-bearing savings account for your banking needs on the Unit. All financial questions should be directed to the resident financial representative. For more information, please visit the Finance Department or call ext. 2856.

Beauty Parlor Services

A licensed hairdresser is available on a fee-for-service basis. Appointments can be made with the unit coordinator at the main desk. If you would like to set up a beauty parlor withdrawal service from your personal banking account, please visit the Finance Department or call ext. 2856.

Care Planning

Each resident will benefit from a personalized care plan designed to address their specific needs and goals. The care plan is developed by an interdisciplinary team composed of our healthcare professionals, in addition to the resident and family or representative.

Within 14 days of admission, you will be invited to attend a care planning meeting. Please inform our staff of any special needs, habits or preferences prior to this meeting. Information can be added to the care plan at any time.

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Clothing

You are responsible for purchasing your own clothing. All clothing brought to the facility must be inventoried. Please provide two weeks of clothing and appropriate closed-toe shoes with non-slip tread.

Complaints

If you have any questions, concerns or complaints about your care, please feel free to contact the social worker at ext. 2558 or 2193. Your concerns will be investigated and every effort will be made to resolve the issue.

Contacts

Please be sure that your personal information is up-to-date. Each resident will designate a main contact person. Please provide all valid phone numbers for this individual. Additional contacts can be listed for use in the event that we are not able to reach the main contact.

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Emergency Situations

In the event of an emergency, your personal physician will be contacted. Depending on the nature of the emergency, your doctor may either personally evaluate you or request that you be sent to the emergency room for evaluation.

The facility will notify one contact person in the event of a medical emergency or change in your condition. In the event that the primary contact person is not available, we will contact an alternate. The contacted individual is responsible for sharing information with other family members and friends.

In the event of a life-threatening emergency, such as a cardiac or respiratory arrest, CPR will be administered under the direction of a responding physician, unless a do-not-resuscitate (DNR) order is present.

Laundry

The facility provides laundry services for your personal clothing, if desired. When utilizing this service, please be sure all items are marked with a permanent marker for identification purposes and that clothing is machine washable.

Locked Storage

Each room is equipped with a locked storage box to secure your personal belongings. Please visit the Finance Department or call ext. 2856 to request a lock box key.

Mail

Mail and packages will be delivered to you upon arrival. Please let a staff member know if you require assistance opening or reading mail.

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CatskillHEALTHY MENU PLANNINGIt is imperative that healthy menus are provided to all

residents. To best meet the needs of our population,

Morrison’s dining program takes into consideration:

v Selecting an eating pattern that meets nutrient needs over time, at an appropriate level

v Providing meal plans that help decrease risk factors or manage chronic conditions such as heart disease, diabetes, and hypertension

v Planning menus according to the nutrient requirements that best meet the national standards for patient demographics

v Providing a model for healthy eating in the community

Morrison Senior Living – Your Dining Experience

A registered dietitian will meet with you to review meal selections, obtain food preferences and discuss the diet order that was prescribed to you by your doctor. this information is entered into our geri-Menu computer system and will generate the week’s menus for you based upon the information provided. if you have any questions or concerns, please contact the Food and Nutrition department at ext. 2081.

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ALWAYS AVAILABLE MENUThe menu for each current week and the following week is

posted near each of the dining rooms. The menu for the day is

available at the front desk.

If you are not satisfied with the menu options, there is an

Always Available Menu which includes:

Breakfast: Assorted cold cereal, muffin of the day, cottage

cheese and fruit platter.

Lunch & Dinner: Hamburger, grilled cheese, cottage cheese

and fruit platter, peanut butter and jelly sandwich, and turkey,

egg salad, tuna salad, or chicken salad sandwich.

Please contact us with any menu changes by 10:00 a.m.

for lunch and 3:00 p.m. for dinner.

NUTRITIOUS SNACkSA healthy snack is available each evening. These snacks will

be rotated daily, including:

v Juices, coffee, milk

v Yogurt, pudding (regular and diet), ice cream (regular and

sugar free)

v Assorted cookies and crackers

v Fresh and canned fruit

v Half sandwich

MEAL DELIVERY TIMESBreakfast: 7:45 a.m. – 8:00 a.m.

Lunch: 11:45 a.m. – 12:00 p.m.

Dinner: 4:45 p.m. – 5:00 p.m.

Snack: 7:30 p.m. – 8:00 p.m.

Nursing Services

Our nurses are trained professionals performing services that are needed for long-term care or short-term situations due to an injury or illness. Our nursing staff will attend to wound care needs related to post-operative, pressure and stasis ulcers. Nurses are also responsible for dispensing and monitoring of oral, intravenous and subcutaneous medications. Respiratory care may also be performed; this can include oxygen, C-Pap, Bi-Pap and nebulizer treatments. Palliative and end-of-life care is offered as needed.

Our certified nursing assistants (CNAs) provide personal care that focuses on helping residents with bathing, dressing, personal hygiene, toileting, walking and maneuvering in and out of bed.

Personal Possessions

Certain personal belongings may be brought to the Unit, depending on the size and nature of the item. Please note that items such as microwaves, coffeemakers and other fire hazards are not permitted in resident rooms due to safety concerns.

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9Catskillit is recommended that valuable possessions be entrusted to a family member or friend. Missing items should be reported immediately to the social worker or nursing staff. We will try to locate the item to the best of our ability. Catskill regional Medical Center is not responsible for any lost, damaged or missing items.

All personal items must be removed from the facility within 30 days of discharge. the facility will not be responsible for items not claimed after this time.

Pets

Pets are welcome! Please contact a member of the recreation department prior to the visit. in addition, we offer pet therapy visits throughout the month.

Physician Services

All care provided to residents on the Skilled Nursing unit is administered under the direction of a licensed physician. upon admission, an attending physician will be assigned to each resident to oversee the medical and nursing care provided. You will be given the contact number for your attending physician. each doctor has arranged for 24-hour coverage for emergency needs.

Recreationthe recreation department hopes to make your stay on the Skilled Nursing unit as pleasant as possible. We offer a variety of group programs designed to meet your needs and interests. if you prefer to engage in an independent activity, please contact a recreation staff member. We’ll do our best to accommodate your wishes as quickly as possible.

Religious and Spiritual ServicesWe have clergy available from most religions. if preferred, you are welcome to have a religious affiliation visit at any time.

Room Changes

Rooms are assigned on the basis of availability and clinical need at the time of admission. We will make every effort to accommodate requests for room changes to the extent possible. Please note that we reserve the right to move residents as necessary for health and safety purposes and to meet the needs of the Unit.

Safety

Resident safety is our primary goal. Upon admission, you will be assessed to determine if you are at risk for falls and other safety-related issues. Based on this assessment, a care plan will be developed. The information obtained in our initial risk assessment will help our staff put the proper safety measures in place to reduce the number and severity of falls. Please inform us of any safety-related concerns you may have.

We strive to be a restraint-free Unit. Please note that bed side rails are not routinely used on the Unit, as they present a significant safety hazard. Other alternatives, such as use of alarms, low beds or mats on the floor, may be used instead to minimize the risks of falls and injuries.

Please use the bedside or bathroom call bells to ring for assistance. Attempting to move about or transfer without assistance, even with the utmost precaution, can lead to a fall. New residents and individuals with a history of falling are the most at risk.

Extension cords are not permitted to be used in resident rooms. Power strips are only permitted if approved by the facility. Please contact administration with questions you may have.

Talcum powder is not permitted on the Unit.

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Smoking

For the health and safety of our residents and staff, both Catskill Regional Medical Center and the Skilled Nursing Unit grounds are completely smoke-free. This includes e-cigarettes and all tobacco products. All patients, visitors and staff are expected to comply with this regulation.

Social Work

Our professional social work team consists of:

v A social worker to assist with the social and psychological wellbeing of our residents by utilizing various methods to ensure that each resident enjoys the highest quality of life. This includes maintaining dignity, addressing spiritual and cultural preferences and advocating on the residents’ behalf.

v An admissions/discharge coordinator to coordinate each resident’s admission to and discharge from our subacute setting to the home. This planning begins upon a patient’s admission by gathering information and working with residents and families to help provide services and equipment for a safe discharge.

The social work team is versed in each role and will assist with all your needs.

Telephone Services

Each room has a telephone available on the bed side table. All local calls are free; long distance calls require a phone card. To make a call, please dial 9 followed by the outbound phone number.

STAFFINGOur therapy team includes:

v An occupational therapist (OTR)

v A physical therapist (RPT)

v A certified occupational therapy assistant (COTA)

v A physical therapy assistant (PTA)

v Two speech language pathologists (SLP)

CLOTHING AND PERSONAL ITEMSSince you will be working towards improving your independence with self-care and mobility, appropriate foot wear and clothing is extremely important. Please wear comfortable shoes with a non-slip tread. Avoid shoes that slide on and slippers that are soft and worn as they do not provide adequate support. Clothing should be non-restrictive – elastic bands and stretchy fabric are ideal.

EqUIPMENTWe provide walkers (both rolling and standard), rollators (walkers with seats), wheelchairs, cushions, leg rests, canes and other adaptive equipment. If you have a special item you would like to bring in, please discuss this with our therapy staff.

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Therapy Services

We offer three separate therapies: occupational (OT), physical (PT) and speech/swallowing (ST). All therapies are held five days a week, however PT services are available on Saturday as needed. The average length of each therapy session is 45 minutes, although sessions may be extended depending on individual needs. Therapy sessions begin after breakfast and end around 4:00 p.m., with a break at lunch time.

Visiting Hours

Visiting hours are flexible. As a courtesy to our residents in semi-private rooms, we ask that any visits after 8:00 p.m. are held outside of the room to avoid disturbing your roommate.

Voting

You retain the right to vote in government elections. Your social worker or recreation specialist can assist you in registering to vote and obtaining an absentee ballot.

WHAT TO ExPECTOur therapists will be with you from day of admission to day of discharge. Your therapy begins with an evaluation. If it is determined that you can benefit from therapy services, we formulate a plan of care to meet your personal goals. We are actively involved in communication with you and your interdisciplinary care team and will update you on your progress, adjust goals and ultimately help plan your discharge when you reach your maximal level of attainable function.

WHAT WE ExPECT FROM YOU We hope that your goal is to live life to its fullest and gain as much function as possible. The progress you make depends on the effort you put into your therapy. In order to meet these goals, you must participate in therapy every day you are scheduled, try your hardest to perform the activities requested by your therapist, bring a positive attitude and do your best. We are here to provide you with the tools and expertise to do so.

CatskillCatskill Regional Medical Center68 Harris Bushville RoadHarris, NY 12742845-794-3300

Grover M. Hermann Hospital Division8881 NYS Route 97Callicoon, NY 12723845-887-5530

www.crmcny.org