The Amputation Rehab Program
The Amputation Rehab Program of Atrium Health Wake Forest Baptist, provides comprehensive, intensive, inpatient
rehabilitation for patients age 13 and older who have limb loss as a result of illness, injury, or a disease process. The
Program uses the latest technology, in combination with traditional, hands-on interventions, to ease the trauma resulting
from amputation and to help individuals adapt both physically and emotionally to necessary lifestyle changes. The team’s
interdisciplinary approach to care ensures comprehensive and coordinated treatment so that patients reach their highest
level of physical, emotional, and psychological ability. The Program also provides training programs to prepare patients and
their families for rehab discharge, to help coordinate equipment needs and home modification, and to provide information
on lifetime health and wellness resources.
Philosophy of Care
Each patient is unique, with specific needs, capabilities and potential. Therefore, each patient’s treatment plan is
individualized and modified as recovery progresses. The rehabilitation team, patient, and family/caregivers work together to
set and achieve functional improvement goals.
The Care Team
The Program’s success is attributed to its interdisciplinary team, which includes the patient, family members/caregivers,
and professionals specializing in:
Rehab Medicine Clinical Nutrition Podiatry
Rehabilitation Nursing Occupational Therapy Pedorthic Services*
Clinical Psychology Physical Therapy Assistive Technology*
Neuropsychology Speech Language Pathology Prosthetics & Orthotics*
Social Work Recreation Therapy Renal Dialysis
*These services are provided by team members who are not directly employed, but who work very collaboratively with the Atrium Health Wake
ForestBaptist Rehab Programs.
Scope of Services
• Board-certified physicians specializing in Physical Medicine and Rehabilitation (PM&R) direct the patient’s plan of
careon a daily basis.
• Rehabilitation Nursing is provided 24 hours a day, 7 days a week
• Each patient receives a minimum of 15 hours of therapy each week, including a combination of physical therapy,
occupational therapy, speech therapy, and/or orthotics/prosthetics training. The types of therapy, intensity of therapy,
and schedule are tailored to the needs of each patient. Therapy services are provided between 7AM and 5PM, Monday
through Friday and on Saturdays as needed.
• Recreation therapy, clinical social work, neuropsychology, and assistive technology services are available 5 days a week,
and are provided based on the needs of each patient.
• Each patient is assigned a Care Coordinator who acts as a liaison between patient, family/caregiver, rehabilitation
professionals, and third party payers.
• Atrium Health Wake Forest Baptist provides all ancillary services including, but not limited to, Diagnostic Imaging,
Laboratory, Pharmacy, Spiritual Care, and Respiratory Therapy.
• Consulting physician services for other specialties are provided, as needed.
• If services not available within Atrium Health Wake Forest Baptist are needed, referrals or consultations are made for
these services, which may include, but are not limited to: orthotics and prosthetics, durable medical equipment,caregiver/
family services, substance abuse counseling, vocational rehabilitation, rehab engineering, and driver’sassessment and
education.
Treatment Goals and Common Interventions
The ultimate goal is to return each patient to the highest level of independence possible, and in most cases, to return the
patient to home. Specific treatment goals are individualized for each patient and may include:
Additional Services
The Assistive Technology Center, located on the campus of Atrium Health Wake Forest Baptist, is a partnership with the
North Carolina Assistive Technology Program (NCATP) and is a demonstration center for assistive technology devices (AT).
The Amputation Program team includes a Certified Amputee Coalition Peer Visitor for peer mentoring. The Program
also offers an Amputee Support Group, which gives patients with amputation and their families the opportunity to share
information, discuss common problems, and learn from the experiences of others.
The Amputation Rehab Program
Demonstrated Excellence in Rehabilitation
The Amputation Program has been awarded accreditation from the Commission on Accreditation of Rehabilitation
Facilities. CARF Accreditation means that Atrium Health Wake Forest Baptist’s Amputation Rehab Program:
• is committed to excellence in rehabilitative care
• meets rigorous international standards of patient care and satisfaction
• is committed to helping each patient achieve their individualized rehabilitation goals
• constantly works to improve services and stays on the edge of rehabilitation techniques and
technology
• surpasses communication expectations with referral and payer sources
Admission Criteria and Referrals
Patients admitted to the Amputation Rehab Program must have realistic rehabilitation goals that reflect the potential for
gaining independence or achieving a higher function in self-care activities and mobility. Additionally, a patient must
• Be 13 years of age or older
• Require and be able and willing to participate in intensive physical, occupational and/or speech therapy (if indicated) at
least 3 hours a day
• Have the need for more than one type of rehab therapy and have potential for functional improvement.
• Be medically appropriate for an inpatient hospital environment and have stable vital signs.
• Have a supportive social system and a defined, expected discharge destination to home
• Be able to breathe without the help of a mechanical ventilator at all times..
Atrium Health Wake Forest Baptist accepts payment from all major private insurance plans, worker’s
compensation,Medicare and Medicaid. The Program evaluates and verifies insurance coverage for each patient prior
to admission. If the patient does not have insurance coverage for the Rehabilitation Program, the patient and/or family/
caregiver will be notified and alternate payment plans or treatment options will be discussed. Any estimated financial
responsibilities will be communicated to the patient and/or family. A listing of prices is available at https://www.wakehealth.
edu/Patient-and- Family-Resources/Billing-and-Insurance/Your-Health-Care-Costs.
The Program welcomes referrals from many sources, including, but not limited to, physicians, short term acute care
hospitals, rehab hospitals, nursing facilities, long term acute care hospitals, and home health agencies. To make a referral,
call (336) 713-8500 or (888) 605-9568.
For additional information about the program, email Rehab4Life@wakehealth.edu. The Rehabilitation Programs at Atrium
Health Wake Forest Baptist do not discriminate against individuals of varying age, disability, race/ethnicity, religion, gender,
or sexual preference and strive to understand and be sensitive to these characteristics and to patient-specific preferences.
The Amputation Rehab Program
Amputation Rehab Program Patients – Calendar Year 2023
Number of patients:
55
Lower Extremity Amputations:
Other amputation:
Average Days in Program:
Hours of Therapy:
Age Group
Number of
Patients
13-17 0
18-40 5
41-65 31
66-85 18
86-100 1
Patient Outcomes – Calendar Year 2023
Functional
Improvement
Goals
% Patients
Who Had
Improved
Function
between
Admission &
Discharge
Average
Improvement
Between
Admission
and Discharge
Self-Care 95% 38%
Mobility 95% 54%
The Amputation Rehab Program
Long Term Care 4%
Acute Care 5%
Home 91%
4%
5%
91%
Amputation Program Patient/Family Satisfaction
(Source: NRC)
% Positive
National Target
% Positive
Would Recommend 94.0 79.0
Rate the Facility 88.0 78.1
What to Expect in Your Rehab Program
This page will give you an idea of what your rehab program may include. Please keep in mind that your rehab care team
will complete a thorough evaluation after admission and develop a more detailed care plan based on your needs and your
family’s needs.
Name: Diagnosis: Rehab Physician:
Location: Expected Days in Program*: Expected Discharge:
Insurance Coverage:
On average, patients in the Amputation Program receive 93 minutes of physical therapy 84 minutes of occupational
therapy, and 16 minutes of speech therapy per day, 5 days per week.
*Your days may differ because your stay will be tailored to your needs and adjusted throughout your stay to help you meet your goals. The number
aboveis the average length of stay for other patients who have participated in an amputation rehab program.
Services Treatment Goals
Rehabilitation
Physician Services
Manage your medical condition to ensure your safety and progress toward your goals.
Nurse practitioners, physician’s assistants, medical students, and residents may work in close
collaboration with your rehab physician. During your stay, physician orders will be responded
to, with results, within 24 hours, unless otherwise specified.
Physical Therapy Improve & maximize your mobility skills, safety, strength and endurance.
Occupational
Therapy
Improve your ability to complete activities of daily living such as eating, dressing, bathing,
toileting and home management; address sexuality issues related to impairment.
Speech Therapy Improve your swallowing, communication and cognitive skills. (If needed)
Rehab Nursing
Manage your bowel and bladder control, address family issues associated with impairment
and educate on care needs, including health and wellness. Our team will be asking you to
assume more responsibility and independence the closer you get to discharge. This will make
you and your family better prepared for your activities of daily living and resuming home life.
Nutrition Services Educate and ensure proper nutrition during treatment.
Clinical &
Neuropsychology
Help you and your family members with emotional and mental health challenges associated
with temporary or permanent disability
Recreation Therapy
Educate you and your family on how to adapt to community environment after discharge and
how to enjoy recreational activities safely
Care Coordination
Coordinate services with the care team, you, and your family members to ensure needs are
met prior to discharge and any follow-up services are arranged
Orthotics and
Prosthetics Care
Provide preshrinker, shrinker, limb guard, and custom fitting of orthotic. (If needed)
Other Needs
The Program is attentive to the specific cultural or other needs of each patient. Please let us
know if you have any specific needs or requests
The Amputation Rehab Program
What to Expect During Your Stay
The following is a typical schedule for the first three days after admission to the Rehab Program.
Day One
• Arrive on the 3rd floor of the Sticht Center at assigned room.
• Nurse assesses your condition and needs upon arrival to the rehabilitation unit.
• Meet with the physician, social worker and nurses within the first 24 hours.
• Receive an assigned wheelchair for the rehab stay.
• Receive a tentative schedule for each therapy. Throughout your stay, you will receive regular updates on the scheduled
times for each t herapy service identified for your care plan..
Day Two
• Begin therapy evaluations and treatment, which could include physical therapy, occupational therapy, speech therapy
andrecreation therapy.
Day Three
• Working with you and your family, the Rehab team develops an individualized Plan of Care based on your conditionand
determines your functional status. The Plan of Care guides your treatment program. The rehab team reviews
yourprogress toward your goals at least weekly.
What to Expect During and After Discharge
Discharge dates are planned or set when continued hospitalization is no longer necessary, and/or when you and your family
are adequately prepared and discharge destinations are finalized. Many activities must be completed prior to discharge.
For example:
√ Your care team will make recommendations for equipment you will need at home or modifications that you will need
tomake at home for your safety and continued recovery.
√ Your Care Coordinator will arrange for delivery of equipmentt.
√ Your care team will determine if you need assistance from a home health agency, which includes nursing and/or
therapyat home. Another option is outpatient therapy after your discharge. If the best option for you is home health,
your CareCoordinator will give you a list of agencies to choose from near your home and arrange Home Health visits. If
outpatienttherapy is the best option for you, the Care Coordinator will set up appointments for outpatient therapy.
√ Your care team will review all discharge instructions with you.
√ The unit secretary will schedule follow-up appointments with your physician.
After discharge from the Inpatient Rehabilitation Program:
• Your rehabilitation journey will continue, and you may need additional resources to assist with lifestyle changes. During
your stay, we will provide information about additional resources that are tailored to your individual needs. If you have
additional needs or questions about community resources, please email: Rehab4Life@wakehealth.edu.
• You will receive an NRC survey to request feedback on your satisfaction with our services. Please note that you may
receive 2 surveys — one for your stay in the acute hospital and a second one for your stay in our Rehabilitation Program.
• Prior to discharge, you will be asked how you prefer to be surveyed at 3 months after your discharge. We will either mail,
email or phone you per your preference to answer this survey. Asking about your continued recovery after discharge
helps us to improve our program and better prepare our patients for asuccessful return to home.
The Amputation Rehab Program
Resources for Your Continued Recovery
There are many other services within our health system and in your community that may assist in your continued
recovery. The next two pages introduce some of the services and resources available through our organization, the local
community, or national organizations focused on amputee services. We encourage you to call or visit the website for these
organizations. However, please do not hesitate to ask us for more information on these services or for other providers or
services in your community.
The Amputee Coalition is the nation’s leading organization of limb loss, dedicated to enhancing the quality of life for
amputees and their families, improving patient care and preventing limb loss. The National Limb Loss Information
Center provides comprehensive information and resources free of charge. All of the information is reviewed by the
Coalition’s medical/scientific advisory committee of experts in the field of limb los
888.267.5669
www.amputee-coalition.org
MedlinePlus is a service of the US National Library of Medicine, NIH National Institutes of Health. This website
includes educational resources and information on current research in the field of limb loss.
www.nlm.nih.gov/medlineplus/limbloss.html
Peer support services are designed to provide amputees and their families with an opportunity to meet and talk with others
who are successfully coping with amputation. Peer Support services can be provided in informal one-on-one sessions or
in small groups. During the Rehab stay, Atrium Health Wake Forest Baptist may be able to offer a one-on-one session upon
request. To learn more, please notify your recreation therapist.
After discharge, the following local support group is available. Winston-Salem: Live Again – Meets on the third Thursday
of every month at the Sticht Center. For more information contact:
Curt Wilson-336.655.6742
Email: [email protected]
Driver Rehabilitation Services include clinical assessments of a person’s visual, perceptual, cognitive, physical, and
behavioral abilities as it relates to safe and independent driving due to aging, an illness or injury. Two local providers of
these services are:
Atrium Health Wake Forest Baptist -
Outpatient NeuroRehab
Driver Rehabilitation Services, P.A.
336.716-8400 888.888.0039 or 336.697.7841
www.driver-rehab.com
Atrium Health Wake Forest Baptist’s Assistive Technology Center is a partnership with the North Carolina Assistive
Technology Program (NCATP) and is a demonstration center for assistive technology devices (AT). Assistive Technology
or “AT” is any piece of equipment or device that a person with a disability uses to make every day living easier, to be more
productive in the workplace or to be more independent. Therapists, consumers/patients, and family members can visit the
center at Medical Plaza Miller to look at devices, have them demonstrated, and try them out. Many of the devices can be
loaned out for short periods of time to try out in the environment of choice. For more information:
Contact: Paul Eklund
336.716.8030
www.wakehealth.edu/Recreation-Therapy/Assistive-Technology.htm
The Amputation Rehab Program
Resources for Your Continued Recovery
Atrium Health Wake Forest Baptist offers MyWakeHealth, a patient portal that gives patients unprecedented access to
their health information, without the unnecessary burden of waiting. MyWakeHealth allows you to get answers to your
medical questions from the comfort of your own home; schedule your next appointment or view details of your past and
upcoming appointments; and access test results. For more information:
www.mywakehealth.com
Orthotics and prosthetics not only improve an amputee’s quality of life, but also may enable them to avoid surgery,
shorten their hospital stay, and return to their communities and the workforce more quickly. Three local providers of these
services are:
Hanger Prosthetics & Orthotics, LLC
336.768.1933
www.advancedpros.com/
Bio-tech Prosthetics & Orthotics
336.768.3666
http://www.btpo.com/
Restore POC
336.765-2425
https://restorepoc.com/
Tierney Orthotics and Prosthetics
336.546.7165
https://tierneyoandp.com/
The Winston-Salem Mayor’s Council for Persons with Disability hosts free monthly meetings that are open to the
public. Meetings are at 11:30 am on the second Tuesday of each month. For more information:
336.245.5678
The Inpatient Rehabilitation Programs are pleased to offer a Rehabilitation Resource Center on the Inpatient
Rehabilitation Unit in the Sticht Center.
If you need assistance finding additional resources in your community: Email Rehab4Life@wakehealth.edu.
The Amputation Rehab Program
Map and Driving Directions to the Sticht Center
The Rehabilitation Programs are located on the 3rd floor of the Sticht Center. Park in Patient/Visitor Deck A
From Interstate 40 East: Take Business 40 toward Winston Salem. Exit Cloverdale Avenue. At the bottom of the exit
ramp, continue straight through the traffic light onto Medical Center Boulevard. Proceed up the hill and around the curve.
Turn left into the Main Entrance to the Medical Center. Turn into the first drive on your left. And then right to park in Deck A.
From Interstate 40 West: Take Business 40 toward Winston Salem. Exit Cloverdale Avenue. At the bottom of the exit
ramp, turn right on Cloverdale Avenue. At the first traffic light, turn left onto Medical Center Boulevard and proceed up the
hill and around the curve. Turn left into the Main Entrance to the Medical Center. Turn into the first drive on your left, and
then right to park in Deck A.
The Amputation Rehab Program
Map Key
Main Hallways
Elevators
Stairs
Information
Restrooms
ATM
?
Digestive Health Center
Lab Collection
Cardiac Ultrasound
& Stress Test Lab
Employee Health
Exit
Faith
Health
Babcock
Auditorium
Access to
Davis Chapel
Mail
Serv.
SUBWAY
Chick-fil-A
Vending
Preoperative
Assessment Clinic
?
Pool
Therapy
Geriatric Clinic
Memory
Counseling
Hubbard Learning
Center
?
Pulmonary Function Lab
Patient & Visitor Parking
Patient &
Visitor Parking
Main Entrance
Parking
Parking
Comprehensive
Cancer Center
Nutrition
Bldg.
Janeway
Tower
Reynolds Tower
Meads Hall
Hanes
Bldg.
Gray Bldg.
Sticht
Center
North Tower
Employee
Parking Decks
Center for Applied
Learning
Emergency
Department
Peds ED
(2SB)
Adult ED
(SB)
C
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a
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A
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M
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w
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r
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R
d
.
1st floor Cancer Center
Patient Drop-o/
Valet Parking
Info Desk
South Elevators
Progressive
Care Bldg.
CRU
(Clinical
Research Unit)
MRI Center
Watlington
Hall
Medical Sta Services
Camino
Bakery
Heart Station/
Pharmacy Care
Clinic/EP Lab
Brenner
Children’s
Hospital
Ardmore
Tower
Pharmacy
Administration
Vendor
Check-in
Public
Elevator
Commons
South Elevators to Nursing Administration,
Life Support Education, Training Rooms
Wake Forest Baptist Medical Center
Campus Map
WakeHealth.edu
Ground FloorG
Ardmore Tower Main and Ground
Floors connect to CCC 4th and
5th Floors, respectively
Risk Management
Visiting Location
❑
Ardmore Tower ❑ Reynolds Tower
❑ Cancer Center ❑ Sticht Center
❑ North Tower
Room ______________________________________________________________
Floor _______________________________________________________________
Phone Number __________________________________________________
West Elevators to
Medical Records
Contact Numbers
We want to provide the best possible care and service to you and your family. If you have a problem, concern, or unmet
need related to your stay on the rehab unit, please speak to your nurse or care coordinator as soon as possible. We are
here to help you each step of the way.
Rehabilitation Units
Acquired Brain Injury (ABI) Unit-3SA Rooms-301-310 336.713.8300
General Rehabilitation Unit-3SB Rooms-351-369 336.713.8341
Patient Rooms 336.702.5 (room number)
Rehabilitation Program Management
Nurse Manager: Sharon Ali 336.713.8355
Therapy Manager: Blair Davis 336.713.8065
Quality and Compliance Manager: Lynn Watkins 336.713.8328
Care Coordinators
Joy Watson 336.713.8815
Brain Injury Unit Care Coordinator 336.716.8024
Office of Patient Experience 336.713.2273
Billing and Insurance
Billing 336.716.4958 or 877.938.7497
Financial Counselor 336.716.0681
After Discharge
For Questions about community resources or inquiries about rehab services:
Email: Rehab4Life@wakehealth.edu
Inpatient Rehabilitation Website:
https://www.wakehealth.edu/Specialty/p/Physical-Medicine-and-Rehabilitation/Inpatient-Rehabilitation
Revised: January 2024
The Amputation Rehab Program
