OhioHealth Grant Medical Center Care Units
Trauma patients arrive at Grant's Emergency Department (ED), where the trauma team performs a thorough exam of injuries to determine the care that's needed. After immediate needs are met in the ED, operating room (OR) and recovery room, the patient is admitted to a hospital unit for care.
The unit is chosen based on the patient's condition and care needs.
In all of these units, the nurses are specially trained to care for trauma patients. They take pride in their ability to manage trauma care at a high level of nursing expertise.
- Patients with severe injuries are admitted to the Critical Care Units
- Patients with less severe injuries, but who still need close observation, are admitted to the Trauma Intermediate Care Unit (TICU)
- Patients with less severe injuries and who are stable are admitted to the Acute Care Unit
About Our Critical Care Units
The nursing staff in the critical care units care for one to two patients at a time. It is a very busy place with many very ill patients. It can be a stressful and frightening time for the patient as well as their family and friends.
Patients in the critical care units are often unconscious and have many tubes and machines connected to them. Patients in these units are often on ventilators to help them breath and are receiving multiple medications and intravenous fluids. The nurses can help you understand the equipment they use in your care.
About Our Trauma Acute and Intermediate Care Units
The Trauma Unit is located on the 7th floor of Grant. It houses two levels of patient care.
If a patient requires close observation and frequent monitoring of vital signs and cardiac condition, he or she is admitted to the Intermediate Care Unit. The nursing staff here cares for two to three patients at a time. Patients are usually awake but not yet completely alert. They may still be on a ventilator but their condition has stabilized and they are recovering.
Patients admitted to the Acute Care Unit, frequently referred to as the "7th Floor," are often awake and breathing on their own. The nursing staff in this area cares for an average of six patients at a time. The Acute Care Unit is the most common unit for trauma patient admission. The nursing staff here is especially trained to help the patient recover from their injury enough to be discharged to home or another facility.
How to Contact a Case Manager
A team of registered nurses and social workers assists and advocates for trauma patients and their families during and after their hospital stays. Some of the issues they can assist with include:
- Discharge planning, such as home health needs, skilled nursing facility, home or rehabilitation needs
- Insurance/financial paperwork and work excuses
- Resource management
- Community resources
- Other social/case management issues
The main telephone number for case management is (614) 566-8772.
Discharge from the Hospital
Only a doctor can release a patient from the hospital. However, many other people are involved in working out the details of the discharge plan. At Grant the trauma case managers help with the issues involved in continuing care after discharge, including:
type of physical care required after discharge
type of equipment needed after discharge
type of transport needed to take the patient home or to the next medical facility
follow-up appointments after discharge
training for the patient and/or family for patient care after discharge
referrals to community resources
information and education to help understand the injury
Patients receive a set of discharge instructions that list the physicians who have cared for the patient, their contact numbers and addresses and if you need to call them to schedule a follow up appointment. It also lists all medications the patient needs to take after discharge as well as a description of the things the patient should do after discharge.
Preparing for discharge It is common to need more care and/or therapy after discharge. If needed, the trauma team members can help trauma patients and their families find the best place. Many factors that are part of this decision include:
care and therapy needs
the facility's location
the facility's ability to provide the needed care
the facility's location
the patient's and family's wishes
Patients going home after discharge, who need special equipment, can work with the trauma case manager to make arrangements for home health needs.
After the Hospital: Types of Care Facilities
There are different levels of care a facility is able to provide for a patient. The list below explains some of the options and types of facilities that are available.
Long-term acute care hospital (LTACH)
This is a hospital that is able to care for patients on a ventilator and who need special nursing and therapy care. Length of stay is as long as necessary. Patients can recover enough here to enter an inpatient rehabilitation center.
Inpatient rehabilitation center
This is a place where patients can regain physical and/or mental abilities. To go to rehab the patient must be medically stable and able to participate in at least three hours of therapy daily.
A skilled nursing facility or sub-acute rehab center
This is an extended care facility or nursing home, a place to go if the patient cannot perform three hours of therapy a day and still needs skilled nursing care, such as tube feedings or trach care.
Home health care
Home health care helps the patient at home with some nursing and therapy services. In this case, a nurse or therapist comes to the patients home to provide therapy. This is often a step that helps bridge the gap from the hospital to independent care.
Outpatient therapy helps a patient regain strength. To have outpatient therapy the patient needs to be medically stable and does not need home care nursing services. This type of rehab may include physical, occupational and/or speech therapy.