In the subacute/rehab setting, time management is imperative. As insensitive as it sounds, remember that the subacute residents are not our personal friends.
While you should always be nice and respectful, there is no need to socialize with the same patient or resident for a lengthy period of time. In essence, hurry up and pass your meds, do the wound care, and move onto the next resident.
A 'to-do' list helped me remain organized. Below you will find one of my old to-do lists with names changed due to HIPAA. I worked on a rehab unit at a large rehab/SNF years ago and here is how I organized my shift. I worked 16 hour weekend double shifts from 6am to 10pm.
I normally had about 15 patients to care for. At the beginning of the shift I would look through the MARs and TARs and, as I went, jotted down the tasks that needed to be done in my notebook. My to-do list in my notebook was how I organized my shift, and as a result, I wouldn't forget to do anything.
DIABETICS, FINGER STICKS: Agnes (BID), Norma (AC & HS), Bill (AC & HS), Pauline (AC & HS), Rex (BID), Jack (BID), Ethel (AC & HS), Marjorie (0600, 1200, 1800, 2400)
NEBULIZERS: Marjorie, Ethel, Bill, Jack, Pauline
DRESSING CHANGES: Pauline, Bill, John, Jack, Lillian, Rose, Lucille
IV THERAPY: Pauline (Vancomycin), Agnes (Flagyl), Rex (ProcAlamine)
COUMADIN: Agnes, Rose, John, Lucille
INJECTIONS: Agnes (lovenox), Lillian (arixtra), Rex (heparin), Bill (70/30 insulin), Ethel (lantus), Mary (vitamin B12 shot)
ANTIBIOTICS: Pauline (wound infection), Rose (UTI), Rex (pneumonia),
1200, 1300, 1400 meds: Marjorie, Lillian, Rose, John, Jane, Jack
1600, 1700, 1800 meds: Rose, John, Rex, Lucille, Lillian, Laura, Louise
REMINDERS: assessments due on Agatha, Jill, and Louise; restock the cart; fill all holes in the MAR; follow up on Norma's recent fall, fax all labs to Dr. Smith before I leave, order a CBC on Rex...