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Thebrilliantdancex

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  1. That's what I thought. Thank you!
  2. Thank you! I know that rehab patients are supposed to be stable when they come to us, but oftentimes we are sent patients that are unstable and really shouldn't be in a rehab setting, in my opinion! But anyway thanks for your input :)
  3. Hello everyone! I'm a new nurse of six months. I currently work in an acute rehab facility where I usually have 8-10 patients. On bad nights I can have up to 12 patients. At my facility, we are only required to assess and document assessments on three to four people per shift. For example, if you have rooms 119-128, the 7-3 nurse is supposed to assess and document on 119, 120, 121, 122. The 3-11 nurse is supposed to assess and document on 123, 124, and 125. And then the 11p - 7a nurse is supposed to assess and document on 126, 127, and 128. I was talking to my mom about this tonight, who is also a nurse, and she was flabbergasted that we don't assess every patient each shift. And it got me wondering if I should be assessing each one of my patients every shift, even if I'm not required to document it. I just don't see how that's possible timewise. I am literally running around like a chicken with its head cut off 99% of the time. Tonight I had 7 patients and then three admissions for a total of 10 patients. Needless to say I didn't get home until 12:45 after my shift ended at 11, and that's not even with assessing every patient. Of course I do neuro checks on stroke patients, listen to lung sounds on respiratory patients, check IVs, etc even if they aren't my assessment patient that day. But I don't see how I could possibly have time to do full assessments on 8-12 patients on top of everything else that needs to be done. I guess what I'm asking is this: in a rehab setting where the patients are more "stable", is it necessary to be assessing each patient every shift? Right now our patients basically only get assessed once each day, is that acceptable since it's a rehab setting not like a med surge setting? Thanks in advance for your input!

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