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Rounds and patient expectations

Rehabilitation   (235 Views 2 Comments)
by Matt8700 Matt8700 (Member) Member

3,204 Profile Views; 61 Posts

Hello!

Question for everybody who works in rehab. I recently began working in a Post acute Care facility which is really a skilled nursing facility that focuses on Post acute Care only, no long-term care patients. when I am receiving a new patient from the hospital and going over the admissions paperwork with them I trying to explain to them how the facility works. At my facility the ratio is 1 nurse to 19 patients, so clearly nurses are not rounding on the patients every hour which is what the patients are used to in the hospital. I have been trying to find a way to explain to patients that the nurses are always on standby should you need them but that rounds are not completed like they were in the hospital, but sometimes I feel like I am letting them down or in some way telling them that they won't have as much accessibility to the nurse as they did in the hospital.  How do you orient patients to the facility without making it seem as though the nurse will only see them for medications?  I always tell them if they need me to turn on the call light and I will come and check on them but sometimes I feel like they expect me to be coming into the room every hour just like what was happening at the hospital.  Any suggestions on how to make this more clear.  Thanks so much!

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pmabraham has 3 years experience as a BSN, RN and specializes in Hospice, Palliative Care.

2 Articles; 2,513 Posts; 45,570 Profile Views

"At my facility the ratio is 1 nurse to 19 patients"

My wife and I were recently at a rehab unit visiting a relative.  Their unit has a ratio of 1 nurse to 5 patients on the worse of days and 1 nurse to 3 patients on the best of days.  1:19.... ouch

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