new rehab nurse - page 3

Hello. I am a new member to this board. I've been working in a rehab hospital for the last 4 months. I've become a little discouraged with the nurse to patient ratio (some nights it has been... Read More

  1. by   namorce

    i am an rn that is new to rehab nursing. i worked previously on a tele floor in a very good hospital in the area. i decided to change venues because i found that i was not able to educate and bond with my pts as much as i would like. at the rehab facility that i am employed at , the ratios can be harsh. i work the evening shift ( 3 - 11:30) and have had as many as eight pts and one cna to help. even though i run my hinny off most evenings, and the acuity of the pts coming to rehab is increasing , i have found that i make a huge difference in my pts lives.
    i have bonded with many fo my pts and their familes and alot of times , when these pts return for outpt services after d/c, they will come up to the floor to see us and say hello. it is exciting to see these pts progress and to share in thier personal accomplishments is heart warming.
    this type of nursing career may be tough at first, and it can be harsh on the body, but for the most part , it is a very rewarding nursing field.
    good luck in what ever you do,
  2. by   natkat2816
    That is also why I LOVE rehab nursing - because of the relationships you have with your patients and their families!! It is rewarding. (But then I miss them when they discharge).
  3. by   jo1010
    I work in a rehab center in NJ. The pt to nurse ratio is 15:1. It is horrible, 15:1 with 3 nurses on the unit and 4 aids (they dont even do blood sugars, which was weird to me, as i worked in the hospital before becoming a nurse and i did quite a lot). At night there is only 2 nurses so it comes to 25:1. Pretty bad, but i cant leave yet, i need to get experience and then try to get out. I have been there for almost a month. Oh.. one more thing.. they gave me only 2 weeks orientation as a new grad nurse. Ridiculous!
  4. by   JWaldron
    Since I wrote previously we have gone to 12 hour shifts, and now I'm on days. Very frustrating. I still have eight patients, no more feedback from the therapists than before, and at my institution (but not unique to us, I know) we are constantly being hit w/ more and more and more new 'responsibilities' and more and more and more forms as well as sicker and sicker patients. Our CNO complains about how task-oriented nurses are and that we are not supposed to be, but I do not understand what else we CAN be, since there are more tasks to be done than there is time in which to do them! But don't be late in getting out at the end of your shift!

    We have a terrible time getting meds from our pharmacy - there are not enough pharmacists or pharm techs and they do not make deliveries as often as they say they do. Sometimes they are more than 8 hours behind, and will not let you come down and pick up meds, even STAT ones. Our pharmacy system is a disaster! We bring it up over and over and over again at meetings, and get told to 'just file an incident report', which is what we should do, but we could spend an entire shift filling out incident reports (that system is terrible too!) and get nothing else done.

    Sometimes I am so frustrated I feel like crying, but then I look at my patients, realize how much worse life could be, and also get so much positive feedback from my patients and families, and know that I am STILL making a difference in their lives. Most of them see the situation, and do not blame the Rehab staff, thank heavens. Even w/ all these 'challenges' our unit has by far the highest patient satisfaction rating in the two-hospital system, we certainly have the best (and the hardest-working) aides, and there is a lot of teamwork among the nurses, which, sad to say, is not the case in the majority of units here.

    We usually have 8 patients w/ one aide on the A shift ( 7A-7P) and the P shift (7P - 7A) usually has between 8 and 11 patients. If there is an LPN on, the Charge RN, who has patients of her/his own, is responsible for assessing the LPN's patients. Depending on how many patients she has, she may delegate some of that to the rest of us.

    Do you find that the nurses in the rest of the hospital (those of you in a hospital-based IRF) somehow think that you don't do 'real' nursing, or is that limited to my hospital? I don't understand it, because if they send a really sick patient out of their unit, the patient doesn't magically improve in the elevator! If they did, believe me, I'd be riding that elevator all day long myself! They will TELL us we aren't REAL nurses, and managers tell their nurses we don't do real nursing! They also tend to pull good IV access out, and central lines, and then we have to put them back, because the patient is still on IV meds! Even after multiple requests to unit managers this continues to happen.

    Savvy One