We aim to provide post-acute-, rehabilitative- and end-of-life care which includes comprehensive assessment, care plan, active therapy, treatment and/ or an opportunity to recover.

The care we offer allows for a seamless transition between acute care and the living environment, particularly where the person’s ability to self-care is significantly compromised. Our service is essential in alleviating the pressure on acute hospital beds.

We offer a 40 bed, 24-hour, 7 day a week facility with an average length of stay between 14 – 42 days. Our program strives to relieve suffering, enhance comfort, promote quality of life and recuperate/restore patients to a functional status. Care and support are provided in a calm, clean and safe environment where the patient can rest and be cared for by a Professional Multidisciplinary Team.

Criteria for Admission:

Referral forms need to be completed before admission
Admission is based on functional need, not diagnoses and targets users who meet the following criteria:

• Patients must be over 18 years of age
• Patients must be known at a state health facility and folder number
• Medically and mentally stable (including stable dementia patients), with compromised functional status
• Complex discharge planning is required to resume living at home
• Recent decline in functional status requiring a short period of enhanced care
• Requires a short-term rehabilitation or recuperation (respite)
• Clients requiring care following acute hospital admission
• Patients requiring rehabilitation with a fair to good prognosis.
• Patients requiring palliative care including symptom and pain control
• Patients with complex and or chronic wounds

Exclusions:

• Patients on ventilators
• All medical emergencies
• Patients who are pregnant
• Patients arriving for admission outside of admission hours
• Patients with active TB not yet on 2 weeks therapy (Excluding XDR and MDR)
• Highly infectious diseases
• Acute psychosis
• Patients on intravenous therapy
• Patients still requiring special laboratory investigations

Requirements by Referrer:

• Completed standard referral form for admission to Intermediate Care facility.
• Referrer to prepare an appropriately detailed and comprehensive care transfer plan/discharge summary
• Patient must arrive between 08h00 – 20h00 on day of admission
• Referrer to provide all prescribed medication for 28 days
• Specialist-initiated and re-boarded medication to be supplied post 28 days
• Referrer to provide assistive devices as required by patient, if not yet available, to be delivered when issued
• Referrer to provide specialist surgical requirements for wound dressing or other care e.g. stoma care and all dressing packs
• Transport is the responsibility of patient and family
• We admit patients 7 days per week

Referrals:

• Patients are referred by State Hospitals, Community Health Centres and Community Based Services
• Referral forms to be completed before assessment and admission
• All relevant sections of the form to be completed, advice can be obtained from the Intermediate Care Facility in case of any uncertainty
• The patient’s own medication is brought from home to the facility and goes home with the patient on discharge
• Transport is the responsibility of patient and family

Contact Details:

Tel:  021 948 0340/0786

Fax: 0864606735

Intermediate Care Facility Referrals forms should be submitted to: imcreferrals@tygerberghospice.org

Visiting hours are from: 15h00 – 16h00 and 19h00 – 20h00 daily

Physical Address:
Grounds of Karl Bremer Hospital
Unit M7 & M8
c/o Mike Pienaar Boulevard & Frans Conradie Drive
Bellville
7530