I will be starting a new position at an independent inpatient rehabilitation hospital soon. I currently work at an LTACH/Rehab Hospital. The pace that I am currently used to is very fast. We have anywhere from 4 to 8 patients (10 on a REALLY bad day!) that range anywhere from borderline unstable IMCU patients to straight rehabilitation patients to vent, tube feed, critical drips, PICCs, Hickmans, implanted ports, TBI/ABI, MVA, CVA, DM, anything respiratory, etc. We have lots of foleys, IVs, complex wounds, etc. It is a very fast paced environment.
I have never worked in a facility whose only focus is Rehab. I don't really know much about the pace of the day, or what a typical day may look like. This isn't subacute. Can anyone who currently works in an acute rehab facility give me a general idea of what to expect on a day to day basis? All of the patients must be able to do a minimum of 3 hrs therapy a day and the ratio is typically 4 to 6 from what I have been told.
I'm worried that I'll lose some of my technical skills (IVs, tube feed, wounds, etc.) and honestly, I AM looking for a slower pace than what I am in now but I'm worried that it is going to be a drastic change and that I may get bored. Don't get me wrong. I know that critical thinking is crucial in rehab and I will be providing lots of patient and family education (which I LOVE to do), so I know it isn't like I'm not going to be doing anything, it is just that I think that I'm not going to be using as many technical skills.
In addition, it sounds like there is a much greater focus on FIM assessments than my current facility has. Because we aren't straight rehab, the nurses only do part of the FIM assessment and our therapists do the rest. Do the nurses do the entire FIM assessment at rehab hospitals? Are nurses solely responsible for assisting all of the patients with ADLs? I am currently used to CNAs assisting with the majority of ADLs unless a patient needs to make accommodations, in which case therapy goes to the patient's room every morning to assist them.
If anyone can give me some insight into acute rehab, I would appreciate it! Thanks!