Quote from Pretty in Ink
I can't believe it!! I don't know how y'all did it! Seriously I am over here griping over 11 patients but on dayshift with 2 techs for 25 beds per floor, but these patients are not "walkie talkies." I have to pass meds usually 3x a day, do wound care, some pt's are on antibiotic tx at different times per day, do the admits/dc's, give peg feedings, usually 1/2 of my pt's are diabetics, i mean...to me it seems ridiculous. Plus charting....how do y'all manage that many???? Safely??? To me, my rehab seems like a med/surg floor with hips and knees thrown in...
Many of my rehab patients were bedbound, too. By the way, I am in Texas.
On the subacute rehab unit where I once worked, we dealt with a lot of central lines, IV antibiotics, CPM machines, feeding tubes, suture removal, surgical staple removal, complicated wound care, ostomy appliances, diabetic management, casts, braces, splints, cervical halos, and so forth. Most of my patients had recently underwent surgical procedures such as laminectomies, knee and hip arthroplasties, kyphoplasties, CABGs, hysterectomies, limb amputations, colectomies, thromboembolectomies, and abdominal aortic aneurysm repairs.
The non-surgical (medical) patients were admitted for recovery from CVAs, acute MIs, debility, cancer, fractures, status post pneumonia, deconditioned states, failure to thrive, status post falls, contusions, and generalized weakness.
To deal with the heap of charting, every patient received virtually the same narrative nurses note unless something truly noteworthy occurred during the course of the shift.