Yes, a day does make a difference. I did not feel as if I was running around like a chicken with my head cut off. Same patients (minus the admit), but more quiet and getting things done. I felt as if I accomplished something.
There always is something lacking in communication, though. One of my patients was crabby, because I took his wheelchair from his favorite spot and moved it. This was for a number of safety reasons, but he was pouting all day, according to our NP. I did a couple of treatments and he slept most of the day.
My other patient is a rehab nurse's worst nightmare or trainwreck. Imagine a non-compliant diabetic who has survived major, major surgery (and has the scars to prove it), a G-tube among other tubes, and is just plain flighty. One minute, he/she can't get up, then family comes, poof! All's well. We push him/her to do therapy and sometimes it works, sometimes not. If we were a CMS supported rehab, he/she'd have been out on the streets long ago.
At the end of the day, I went to a meeting. I was horribly unprepared because the nurse who actually attends our regularly scheduled department meeting just forgot to tell me about it. I was supposed to report nursing's views on a patient I've seen, but barely know. Guess I'll be busy learning about him/her for the next meeting!
Now, Bubba has enlisted me to hang the hummingbird feeder. We'll see how that goes...more to come.
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