My "Unproductive" Day

In the world of productivity demands, RUG levels, Medicare reimbursement, we are often pressured to see as many people as we can, then go home.  Productivity demands become increasingly cumbersome for most of us and have become a great source of stress.

The thing is, productivity does not tell the real story of my day.  As I don’t work in a SNF, some days,  productivity can be difficult, but I leave my job exhausted.

Some days, I am running between floors trying to fit in both inpatients and outpatients.

Some days may look a little like this:

8:00 Arrive at work, open my office, put my bags away then walk to the front desk to check my schedule.

8:15 I have checked for new orders, I have 3.  2 of them are Modifieds.

8:20 Call xray to see if they received the orders.  No??  Ok, I’ll call third floor and have them put it in.  I finally get someone to answer on third floor, after the third attempt.  They’ll put the orders in right away.  I ask if they can have the patient ready in about 15 minutes.  No problem.

8:40 Grab my radiology bag from my room, run downstairs to 2nd floor to get ready for the modifieds.  I mix the barium for the studies.  The orders still have not arrived.  I go upstairs to help get the first patient because X-ray is short-staffed.  Patient 1 is not ready, student nurses are giving them a bath.  Patient 2 is not ready because they still need to get their meds.  The orders are not in yet.  Yes, they are order number XXXX.

9:00 Patient 1 is finally ready.  They need to be transferred per bed.  We push them down, get the Hausted chair ready, then call ER to help transfer the patient.

9:20 The patient is ready….

You get the idea.  Many of the things we can’t bill for ARE necessary to effectively treat and/or assess the patients that we do have.  The phone calls, the information sharing with the nurse, talking to other therapists about issues you feel will help enhance their session.  These are all very important, very much needed parts of our day that can take much of our time.

We live in a productivity-based world, but we have a non-productivity-based profession.

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