Madonna Rehabilitation Hospital

Rebuilding Lives

Madonna Rehabilitation Hospital, located in Lincoln, Nebraska, is one of the nation’s foremost facilities for medical rehabilitation and research. Madonna is a national leader in specialized rehabilitation programs for traumatic brain injury, spinal cord injury, stroke, pediatric and pulmonary conditions for adults and children of all ages. Madonna is one of the largest independent rehabilitation hospitals in the country.

Madonna’s team of highly specialized physiatrists, therapists, rehabilitation nurses and clinicians work with the most advanced technology and equipment to help each person achieve the highest level of independence.

Their multidisciplinary team model incorporates the use of the Passy Muir Valve to facilitate ventilator weaning and trach decannulation. Each ventilator and trach tube patient has standing orders on admission for co-evaluation by SLP and RT for placement of the PMV. In 2015, the LTCH ventilator weaning rate was 65.3% of all vent patients; regardless of diagnosis the teams weaned 43.2 % of their trach tube patients. In addition, a number of trach and vent patients were able to wean after discharging to Madonna’s Acute Rehab Hospital. They consistently meet or exceed national standards in wean percentage.

Meet the Team

Success Stories

Meet Althea and Erasmo, two of the patients that Passy Muir had the pleasure of meeting during our visit to Madonna Rehabilitation Hospital.

Physical Therapy with the Passy Muir® Valve

On April 10th, 2011 Madonna Rehabilitation Hospital was featured in a Passy Muir clinical documentary, World Progress Report. The hospital graciously opened its doors to the cameras in order to capture the clinicians
and patients using the Passy Muir® Valve at the bedside and in therapy. These images, along with the staff and patient interviews, give testimony to why the Passy Muir® Valve has become the standard of care for not only Madonna Rehabilitation Hospital but for facilities across the world.

This video demonstrates the long and fruitful relationship between Madonna Rehabilitation Hospital and Passy Muir Inc.

Policy and Procedures

Click here to download Madonna Rehabilitation Hospital's Passy Muir Valve Placement.

Publications and Presentations

Click here to download Madonna's Tracheostomy Tube weaning protocol.

Patients Requiring Tracheostomy and Mechanical Ventilation: A Model for Interdisciplinary Decision-Making
Published in the ASHA Leader on January 20th, 2009

Interdisciplinary Decision-Making with Patients Requiring Tracheostomy and Mechanical Ventilation
Presented at the 2009 ASHA Convention

Madonna Rehabilitation Hospital-A Center for Excellence
Published in Talk Muir, Fall 2010

Use of the Passy Muir® Valve for Weaning in Long Term Acute Care Hospitals
Published in Respiratory Therapy Journal, August/September 2011

NALTH Summer 2012 Member Spotlight

The Inter-thoracic Connection: SLP Collaboration with RT and PT for Improving Breathing Mechanics
Presented at 2014 ASHA Convention

The Inter-thoracic Connection
Respiratory Therapy Vol. 10 No. 2-Spring 2015

The Inter-thoracic Connection SLP Collaboration with PT and RT for Improving Breathing Mechanics
Presented at 2014 ASHA Convention

Guest Presenters for Passy Muir Special Event Webinars:

Interdisciplinary Decision-Making with Patients Requiring Tracheostomy and Mechanical Ventilation.

Patients with respiratory failure and distress are now surviving with the help of medical advances including tracheostomy tubes and mechanical ventilation. This course will provide clinical education on a model of an interdisciplinary flow chart that outlines a protocol providing objective criteria for patient tolerance of a Passy Muir closed position one-way valve, a critical step in the assessment of the patient’s speech, voice and swallowing.

The Role of the Passy Muir® Valve in the Pulmonary Management of the Patient with a Spinal Cord Injury.

According to the National Spinal Cord Injury Statistical Center, there are approximately 12,000 new spinal cord injuries (SCI) in the U.S. each year. Regardless of the level of injury, respiratory function is compromised. This course will identify the four primary pulmonary impairments of a high spinal cord injury and demonstrate the role of the Passy Muir® Valve in their prevention and treatment. We will examine the use of the Passy Muir® Valve in successfully weaning patients with SCI from the ventilator and/or tracheostomy tube.

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