new job in a rehab nursing facility..tips anyone??

  1. 0
    I have been in healthcare for a while now,but mainly dialysis,only 11 months outside experience as a charge nurse in an assisted living unit. I just got a 7 to 3 job in a rehab nursing center, Im sure i will be doing a lot of treatments and have different responsibilities. what should i expect? it is a well known rehab center i will have 25 patients and 2 cnas.. tips anyone???

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  2. 2 Comments...

  3. 0
    I will start off by mentioning that I am a very task-oriented person. After all, skilled rehab in a nursing home involves multiple tasks that must be completed.

    I worked on a subacute/short-term rehab unit at a large nursing home/SNF several years ago, and here is how I used to organize for the day. I worked 16 hour weekend double shifts, from 6am to 10pm every Saturday and Sunday. I typically had about 15 patients to care for. At the beginning of the shift I would go through the MARs and TARs with a fine tooth comb, and as I go, I would jot down the things that needed to be done in my personal notebook.

    My notebook was how I organized each shift, and I usually wouldn't forget to do anything. Here is how one of my really old notebook pages looked (names have been changed due to HIPAA):

    9-23-2007
    DIABETICS, FINGER STICKS: Agnes (BID), Catherine (AC & HS), Bill (AC & HS), Wilma (AC & HS), Rex (BID), Jack (BID), Edith (AC & HS), Margie (0600, 1200, 1800, 2400)

    NEBULIZERS
    : Margie, Edith, Bill, Jack, Jane

    WOUND TREATMENTS
    : Jane, Bill, John, Jack, Lillian, Rose, Lucille

    IV THERAPY
    : Wilma (Vancomycin), Linda (Flagyl), Rex (ProcAlamine)

    COUMADINS
    : Agnes, Catherine, John, Lucille

    INJECTIONS
    : Agnes (lovenox), Jane (arixtra), Rex (heparin), Bill (70/30 insulin), Edith (lantus), Mary (vitamin B12 shot)

    ANTIBIOTICS
    : Wilma (wound), Linda (C-diff), Rex (pneumonia), Catherine (MRSA)

    1200, 1300, 1400 meds
    : Margie, June, Rose, John, Jane, Jack

    1600, 1700, 1800 meds
    : Rose, John, Rex, Lucille, Lillian, Linda

    REMINDERS
    : assessments due on Catherine, Jill, and Louise; restock the cart; fill all holes in the MAR; follow up on Jane's recent fall, fax all labs to Dr. Smith before I leave, order a CBC on Rex...
  4. 0
    Organization and time management are must haves. 25 patients is quite a lot, My unit gives us no more than 8 pt.'s, but we do have acute pt.'s that take ample amounts of time. We also get 1 CNA. Everyone does things differently and I'm not sure how your facility divides responsibilities among shifts. I, myself, work 3-11 on my inpatient rehab unit. I love it. I would say the best advise I received was coming into work early, about 30 minutes is enough time to gather your assignment and kardexes and review pt dx, orders, etc. I figure out who needs to have a BM, who needs wound care, etc. This way I have tasks written down to complete and keeps me on track. Good luck!


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