Tag: cardiopulmonary rehab

Surge Rehabilitation and Nursing Pioneers ACP Facility Certification

Surge Rehabilitation and Nursing Pioneers ACP Facility Certification 

Last year, we launched the ACP Certified program to help our partners enhance their clinical expertise, improve patient outcomes, and stand apart in their communities. Since then, it has been our pleasure to see rehab and nursing clinicians across the country find value in becoming certified—for themselves and their patients. We are thrilled to share that Surge Rehabilitation and Nursing in Middle Island, NY, has become the first facility in the nation to achieve ACP Certification in both Cardiopulmonary Rehab and Fall Prevention. This remarkable achievement underscores Surge’s commitment to clinical excellence and innovation in post-acute care.

Elevating Cardiopulmonary Care 

To become ACP Certified in Cardiopulmonary Rehab, Surge’s staff demonstrated excellence in specialized therapy interventions and clinical protocols and in integrating advanced technology to support cardiopulmonary recovery and long-term management.

Following extensive training and the implementation of evidence-based practices, Surge reported the following improvements in patient outcomes:

  • 54% of patients required less supplemental oxygen by discharge
  • 84% of patients showed improvement in BORG score from admission to discharge, indicating reduced perceived breathlessness
  • Average increase in ambulation distance from admission to discharge was 93 feet, reflecting endurance and functional mobility gains
  • Average length of stay decreased from 52 days to 37 days, showing increased efficiency and care delivery
  • 93% of patients demonstrated improvement in Timed Up and Go (TUG) scores, indicating better functional mobility

“This certification is a milestone and affirmation of a promise to our residents and families that we deliver the highest level of cardiopulmonary care available today,” said Ahmed Joudah, Administrator of Surge Rehabilitation and Nursing.

Leading the Way in Fall Prevention

Falls are a significant risk for older adults, and Surge is taking a proactive, interdisciplinary approach to reduce risk and optimize clinical outcomes. Since implementing the evidence-based practices outlined in the Fall Prevention certification, the Surge team has achieved notable improvements: 

  • Average increase in ambulation distance of 56 feet from admission to discharge 
  • 81% of patients demonstrated improvement in TUG scores, and 30-second sit-to-stand scores improved by 5 repetitions, showing better functional mobility and reduced fall risk 

In their program reflection, they had this to share:  

“…participating in the ACP Fall Prevention Program has been a transformative journey for [their] interdisciplinary team, enhancing not only [their] clinical outcomes but also [their] communication, collaboration, and shared commitment to resident safety. One of the most critical elements that [they] have embraced is the importance of clear and consistent communication across all disciplines, ensuring that every team member – from therapists to nursing staff to physicians – is aligned on goals, strategies, and individual resident needs.”

Celebrating Clinical Excellence

As an ACP-certified facility, Surge continues to lead by example in clinical excellence, ongoing education, and interdisciplinary collaboration. This dual certification is not just a milestone for Surge but also ACP, and we are grateful for their exemplary partnership and dedication to better patient outcomes. 

It has been an incredible experience to witness the journey of ACP Certification, from its initial concept and development to its successful launch, culminating in the achievement of the first two facility certifications by Surge. The staff and administration at Surge are committed to ensuring the individuals under their care receive the best possible care, using all available resources to maximize clinical outcomes.

Kelly Contreras, Senior Manager, Remote Clinical Services

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Since launching the ACP Certified program, it has been our pleasure to see rehab and nursing clinicians nationwide find value in becoming certified. We are thrilled to share that Surge Rehabilitation and Nursing in Middle Island, NY, has become the first facility in the nation to achieve ACP Certification. Read on to learn how their Cardiopulmonary Rehab and Fall Prevention certifications are enhancing patient care.

Image of Jimmie R., an older male patient, using Accelerated Care Plus' OmniFlow Breathing Therapy Biofeedback System.

Patient Testimonial – Jimmie R.

Jimmie has a history of COPD, requiring oxygen therapy. Following COVID-19, he had increased difficulty breathing, requiring a higher level of oxygen and needed assistance with wheelchair mobility. As a result of therapy, including OmniFlow™ Breathing Therapy Biofeedback System, he is back to his pre-COVID level of oxygen therapy, and he can self-propel his wheelchair.

I can breathe better after therapy with OmniFlow™.

Jimmie R.

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Jimmie has a history of COPD, requiring oxygen therapy. Following COVID-19, he had increased difficulty breathing, requiring a higher level of oxygen and needed assistance with wheelchair mobility. As a result of therapy, including OmniFlow™ Breathing Therapy Biofeedback System, he is back to his pre-COVID level of oxygen therapy, and he can self-propel his wheelchair.

I can breathe better after therapy with OmniFlow™.

Image of an older woman using Accelerated Care Plus' OmniCycle over a blue and green background with text that reads "Understanding Cardiopulmonary Changes with Aging."

Understanding Cardiopulmonary Changes with Aging

February is American Heart Month, a time for healthcare professionals and clinicians to focus on their role in helping patients manage their cardiovascular health. As we age, our bodies go through many changes, and our cardiovascular system is no exception. Fortunately, there are plenty of ways we can help our geriatric patients maintain their health and vitality.

It is essential for therapists to understand the physiological aging process and its effects on cardiopulmonary function when treating patients with age-related comorbidities. By familiarizing ourselves with the changes that come with age, we can build an effective preventative and therapeutic approach for our patients that enhances the impact of our care and improves our patients’ quality of life.

The Aging Cardiopulmonary System and Functional Implications for Therapists

Aging can cause a myriad of changes in the heart and blood vessels that can increase a person’s risk of heart disease. As we get older, our cardiopulmonary function is impacted in the following ways:

Decreased

  • Maximum aerobic capacity
  • Maximum heart rate/Cardiac Output
  • Capillary density
  • Arterial distensibility
  • Pacemaker cells in the sinoatrial node
  • Baroreceptor sensitivity
  • Lung elastic recoil
  • Vital capacity, tidal volume
  • Alveolar surface area
  • Respiratory muscle strength

Increased

  • Left ventricular wall thickness
  • HR/BP response to submax exercise
  • Total cholesterol, LDL
  • Peripheral vascular disease
  • Stiffness of the chest wall
  • Residual volume

The functional implications of these changes include decreased exercise capacity, an increase in the work of respiratory muscles, a lower threshold for shortness of breath, and postural hypotension.

With the right tools and interventions, clinicians can help aging patients build up their strength and endurance, increase circulation, increase their aerobic capacity, and enhance their quality of life. ACP offers a comprehensive Cardiopulmonary Program focused on building strength, neuromuscular function, and overall fitness, as well as several continuing education courses for our partners through ACP University that explore rehabilitation for patients with cardiopulmonary compromise in more detail, including:  

  • Aerobic Exercise for Aging Adults 
  • Chronic Heart Failure and Rehab 
  • Chronic Obstructive Pulmonary Disease (COPD) 
  • Pulmonary Essentials – Assessment and Intervention 
  • Pulmonary Essentials – Spirometry 
  • Pulmonary Interventions – Advanced Rehab Technologies 
  • Cardiopulmonary Program Interdisciplinary Approach (Nursing Home Administrator CE) 

By deepening our understanding of cardiopulmonary care, we can make a profound difference in the health and well-being of our aging patients. 

If you are interested in learning more about our Cardiopulmonary Program, scheduling training, accessing these courses, or simply want more information on this topic, please reach out to your Clinical Program Consultant.  

References:  

  1. Moffat, M. (May 2013). Certification as Exercise Experts for Aging Adults: Courses 1
  1. Lewis, C., Bottomley, J. (2008) Geriatric Rehabilitation: A Clinical Approach. Upper Saddle River, NJ: Pearson Prentice Hall