Levels of Care

The Transitional Care Unit (TCU) at Madonna Rehabilitation Hospital is an environment of hope and healing. The TCU serves people with orthopedic and/or medically complex diagnoses, helping them recover after acute care hospitalization and regain the skills needed to return to home or other settings of lower intensity care.

Madonna's TCU provides a holistic approach that focuses on the physical, psychological and spiritual needs of the person and their family. TCU residents enjoy the therapeutic benefits of aromatherapy, music and gentle massage to help speed healing, reduce stress and increase overall well-being.

Licensed as a skilled nursing facility and accredited by CARF, the Rehabilitation Accreditation Commission, TCU is a 21-bed unit with 11 private rooms. TCU residents have access to Madonna's exceptional medical rehabilitation services and nursing care, as well as a state-of-the art therapy gym, an expanded activities area and recently renovated patient rooms.

To be eligible for admission to the TCU, the patient must have a daily skilled nursing or skilled rehabilitation need which requires medical services, such as:

• Nutritional support of a feeding tube with potential for discontinuation.
• IV medication administration
• Wound management
• Nursing observation/management and respiratory therapy for aerosol treatments.
• Chemo/radiation therapy
• Dialysis
• Need for short-term rehabilitation for cardiac condition or following cardiovascular surgery.
• Need for physical therapy, occupational therapy, and/or speech therapy less than 3 hours per day.
• Face to face physician visit needed up to 3 times weekly.

Patients on the TCU at Madonna receive thereapy to meet individual needs five days per week, as well as skilled nursing care. While Madonna follows the same transdisciplinary rehabilitation approach described in the ARU section, patients on TCU may require a much lower intensity of rehabilitation due to medical needs or other factors.

Other medical services available at Madonna include:

Pharmacy: Madonna's in-house pharmacy is open Monday-Friday 8 a.m. to 10 p.m. and
8 a.m. to 4:30 p.m. on weekends and holidays. During closed hours, a pharmacist is on call. Madonna provides a full range of inpatient pharmacy services, including medication distribution (both oral solids and IV preparations), patient education, clinical/dosing services and participation in several hospital committees. Madonna does not supply take home medications for patients and patients who require parenteral chemotherapy are sent out to a patient infusion center for that service.

Respiratory Therapy: Madonna provides respiratory therapy 24 hours per day, seven days per week using Madonna staff who are licensed respiratory care practitioners. Madonna's respiratory therapists provide ABG services.

Laboratory: Madonna's in-house laboratory is open from 7 a.m. to 7 p.m. Monday - Friday and 7 a.m. to 3:30 p.m. on weekends. On Christmas and New Year's day, the laboratory is open from 7 a.m. to 1 p.m. Madonna's laboratory provides anticoagulation, hematology, chemistry, therapeutic drug level testing, and urine analysis services. Additional testing, if necessary, is provided by the Physicians Laboratory Services. Most general lab tests are performed by Madonna staff and results are available the same day. Sent-out tests, such as cultures or less common tests, are resulted within 3-5 days.

Radiology: Madonna provides limited in-house radiology services, inlcuding X-ray, Echocardiogram, Venous Doppler, Arterial Doppler, Holter Monitor, Sleep Study, and EEG. CT scans, MRI, Ultrasound, and any other comprehensive radiology exams are performed at one of the medical facilities in Lincoln. Regular hours for Madonna's radiology department are 8:30 a.m. to 9 p.m. Monday-Friday and 8:30 a.m.-5 p.m. on weekends. Patients are transported to one of the medical facilities in Lincoln if they require services after those hours. Results of in-house testing are interpreted by Radiology Associates, PC and in most cases reported the same day.