Running head: REHABILITATION CENTER PATIENT CARE 1

Rehabilitation Center Patient Care

Amanee K. Cabbagestalk

The University of Tampa

EME 620: Systematic Instructional Design

Spring 2020
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Table of Contents
Introduction ................................................................................................................................................. 3
Problem Statement...................................................................................................................................... 3
Needs Assessment Plan ............................................................................................................................... 4
Goal Analysis ............................................................................................................................................... 5
Aim .................................................................................................................................................. 5
Set Goals .......................................................................................................................................... 5
Categorized Goals ............................................................................................................................ 6
Final Refined/Ranked Goals ............................................................................................................ 6
Learner Analysis ......................................................................................................................................... 7
General Characteristics .................................................................................................................... 7
Specific Characteristics.................................................................................................................... 7
Personal and Social Characteristics ................................................................................................. 7
Contextual Analysis .................................................................................................................................... 8
Orienting Context ............................................................................................................................ 8
Instructional Context........................................................................................................................ 8
Transfer Context .............................................................................................................................. 8
Task Analysis............................................................................................................................................... 9
Topic Analysis ................................................................................................................................. 9
Instructional Objectives ........................................................................................................................... 13
Objective Sequencing .................................................................................................................... 14
Objective Strategies ....................................................................................................................... 15
Developing Instructional Material .............................................................................................................. 16
Evaluation Plan ......................................................................................................................................... 17
Formative Evaluation ..................................................................................................................... 17
Summative Evaluation ................................................................................................................... 17
Confirmative Evaluation ................................................................................................................ 18
Implementation ......................................................................................................................................... 19
Instructional Unit ...................................................................................................................................... 19
Summary and Conclusion ........................................................................................................................ 19
Appendix .................................................................................................................................................... 20
References .................................................................................................................................................. 23
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Introduction

Rehabilitation facilities provide medical services and/or specialized medical care to sick, injured, or

disabled patients. Patients in these facilities are typically referred by a hospital for follow up care after a

hospital stay for surgery, stroke, Parkinson’s disease, acute illness, infection or general wound care, for

example. Treatment may include physical/speech therapy, physical rehabilitation, administration of

antibiotics, intravenous injections of medication, or other medical care. The staff of a rehabilitation

facility may include registered nurses, licensed practical nurses, vocational nurses, speech pathologists,

physical therapists, audiologists, a medical director, and other specialized medical staff as needed.

Westgate Hills Rehabilitation and Healthcare Center claims to be a leading provider of subacute

rehabilitation and skilled nursing care serving the community of Baltimore, Maryland. Their website

states that they are committed to introducing innovative programs, harnessing the power of state-of-the-

art healthcare technology and believe that a consistent level of compassion and integrity are the

cornerstones of their success. Westgate Hills claims to offer the ideal balance of best in class clinical

resources and technology supported with compassionate, intimate care to renew patient’s strength and

invigorate their spirits. In their newly renovated, sophisticated environment, they provide the dedicated

expertise to help residents recover with dignity, rapidly regain their mobility and achieve the

independence needed to return home. From special therapeutic diets and bedside dialysis to complex

rehabilitation, a comprehensive continuum of services and specialized care options are available onsite.

Problem Statement

The Westgate Hills Rehabilitation and Healthcare Center staff has failed to properly aid patients

who require a high level of care. Patients and family members have expressed concern after patients have

been left in their beds for long periods of time after requiring to be cleaned after accidents, requesting

help with bathing/changing clothes, and gone days with undiagnosed health issues. The problem at hand

is that communication between patients/family members and healthcare providers is poor and clear plans

for the patient’s course of treatment are not defined.

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Medicare.gov gives Westgate Hills Rehabilitation and Healthcare Center “much below average”

rating for health inspection, “much below average” for quality of patient care, and “below average” rating

for staff. Further instruction will provide the staff with proper protocol for communication and time

management to efficiently and effectively care for patients.

Needs Assessment Plan

In order to better tend to the patients of Westgate Hills Rehabilitation and Healthcare Center, a

needs assessment will be conducted to identify key issues and suggest solutions/improvements. The target

audience will be the staff of the Westgate Hills Rehabilitation and Healthcare Center.

Preliminary data will be collected quantitatively through surveys and qualitatively through face-

to-face interviews. Surveys will be conducted with current and past patients, family members of patients,

and staff members via carrier mail and email. For participants who wish to expound on their experiences,

face-to-face interviews will be conducted on site. Observation of the facility will also take place to get a

first-hand experience of life at Westgate Hills Rehabilitation and Healthcare Center.

The results from the surveys, interviews, and observations will be analyzed and used to improve

the day-to-day operations and quality care for patients at the center. Interview questions will provide

information on current conditions and procedures at Westgate Hills, as well as feedback on any

changes/updates that the patients/families/staff would like to see implemented. This will also provide

opportunities for follow-up questions.

Analysis from the results will reveal that there is a lack of communication and proper time

management techniques in place at Westgate Hills Rehabilitation and Healthcare Center. Based on the

proposed needs assessment, further training will provide the staff with the proper knowledge and skills to

bridge communication gaps between patients/families/healthcare providers and better prepare staff to take

care of patient’s needs through enhanced time management techniques.

Sample Interview Questions

Questions for staff:

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1. What new additions or updates to protocol do you think could be included to improve the

patient’s quality of care?

2. Do you feel that the communication between patients/families/staff members is

sufficient?

3. Do you ever feel like you have too much on your plate or that you don’t have enough

time to complete all of your required duties?

4. Do you think that the staff to patient ratio is sufficient to perform required duties?

5. Do you feel that there is clear communication throughout Westgate Hills’ departments

(Nursing/Dietary/Physical Therapy/Speech Pathology/Etc.)?

Questions for patients/family members of patients:

1. Are you currently satisfied with the care you are receiving at Westgate Hills

Rehabilitation and Healthcare Center?

2. If you encountered any, what types of issues did you have at Westgate Hills

Rehabilitation and Healthcare Center?

3. How would you rate the care? (1=Worst; 10=Best)

4. Do you find that the care is constant throughout the day/week?

5. Would you recommend this facility to a family member or friend?

Goal Analysis

Aim

The staff of Westgate Rehabilitation and Healthcare Center will be better equipped to

communicate with each other, patients, and families, and properly manage time between patients and

duties.

Set Goals

Staff will be able to:

• Help residents with daily tasks such as eating, hygiene, dressing, and using the bathroom

• Perform daily monitoring of the health and care of residents

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• Execute the collection of lab work without contamination

• Complete patient charts

• Assist patients in returning to their normal lives following a serious illness or injury

• Teach specific rehabilitation nursing techniques to help clients and their families develop the self-

care skills necessary to move toward full rehabilitation

• Perform hands-on nursing care by utilizing the nursing process to achieve quality outcomes for

clients

• Share pertinent information with patient’s families

Categorized Goals

Patient care goals:

o Help with daily tasks such as eating, hygiene, dressing, and using the bathroom

o Perform daily monitoring of the health and care of residents

o Execute the collection of lab work without contamination

o Assist patients in returning to their normal lives following a serious illness or injury

o Teach specific rehabilitation nursing techniques to help clients and their families develop

the self-care skills necessary to move toward full rehabilitation

o Perform hands-on nursing care by utilizing the nursing process to achieve quality

outcomes for clients

Administrative goals:

o Share pertinent information with patient’s families

o Complete patient charts

Final Ranked/Refined Goals

Staff will be able to:

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1. Communicate: Explain patient care plans, provide information/updates, and act as an

educational resources and role model for the Westgate Hills Rehabilitation and

Healthcare Center staff, patients, and families.

2. Time Management: Properly demonstrate time management skills by balancing

responsibilities such as performing daily monitoring and basic assistance to residents.

Leaner Analysis

General Characteristics

The learners include approximately 65 staff members at Westgate Hills Rehabilitation and

Healthcare Center who work in a variety of different roles ranging from nurses to doctors to

physical/occupational/speech therapists to social workers to dieticians. The learners are both male and

female learners, ages 21-75. A large majority of the learners have at least bachelor’s degrees, with some

learners completing advanced medical degrees. All learners have previous experience working in a

healthcare setting. The learners come from all ethnic backgrounds and are fluent in English language,

reading and writing, in order to communicate with patients.

Specific Characteristics

As previously stated, most of the learners have at least bachelor’s degrees, with some learners

completing advanced medical degrees and certifications. All of the learners have previously worked in the

healthcare field in some capacity. They have each passed thorough drug and background testing in order

to obtain employment at Westgate Hills Rehabilitation Center.

Personal and Social Characteristics

Above and beyond its rigorous education and testing requirements, a career in healthcare requires

a special set of skills and personality traits. “By far, the number one quality of a good nurse is caring,”

said Kathleen Pfeiffer, RN, BSN, area director of pediatric clinical operations for BAYADA Home

Health Care. “If you do not care about others and yourself, you cannot be compassionate and provide
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quality care to others.” Attention to detail is another crucial trait to possess when providing medical care.

It can literally cost a person’s life.

Contextual Analysis

Orienting Context

The Westgate Hills Rehabilitation and Healthcare Center Patient Care training will be tailored to

both current and future employees and focus on the proper knowledge and skills to bridge communication

gaps between patients/families/healthcare providers and better prepare staff to take care of patient’s needs

through enhanced time management techniques. The staff members will learn how to use a patient care

portal to provide feedback and updates to patients/family members, how to efficiently provide

patients/families/other healthcare providers with pertinent updates about patients, and how to manage and

prioritize schedules so that day-to-day tasks are completed in an orderly fashion so that the best care

possible is provided to patients.

Instructional Context

The Westgate Rehabilitation and Healthcare Center Patient Care training will take place through

an online format in an environment of the learner’s choosing. The online training should be completed in

a well-lit and distraction-free environment to ensure that the learner is able to focus throughout the

training. If the staff member does not own a personal computer or laptop, they will be able to access the

training through one of the desktop computers located in the Westgate Hills Rehabilitation and Healthcare

Center’s nurse’s stations.

The online training will provide a flexible learning environment for employees in round-the-clock

shifts. Employees can complete the training during downtime throughout their shifts or at home. It will

also provide a way to easily track progress. The goal is to make the education easy to consume for the

target audience— the staff of Westgate Hills Rehabilitation and Healthcare Center— by breaking it into

multiple sessions. The training must be completed by May 1, 2020.

Transfer Context
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At the culmination of the Westgate Hills Rehabilitation and Healthcare Center Patient Care

training, the staff members will be able to use their new skills and knowledge to better care for their

patients. The requirement is only to complete the training once, but the learners can access the training at

any time for a refresher. The learners will use the techniques they developed throughout the training every

single day.

The Westgate Hills Rehabilitation and Healthcare Center leadership team should regularly check

in with staff members to see if they have any suggestions to improve the quality of patient care. The

leadership and human resources department should make sure that they have an open door policy and are

welcoming so that if employees feel that they are lacking in any way, staff members will come to them

for assistance and possible professional development opportunities.

Task Analysis

For the purpose of this training, a topic analysis will be used. The topic analysis a part of

Morrison, Ross, & Kemp’s Three Part Task Analysis. The staff members of Westgate Hills Rehabilitation

and Healthcare Center will learn a variety of skills, but they do not need to necessarily be completed in

any specific order. The topic analysis includes the facts, concepts, principles, and rules, which are the

building blocks of the final instruction and forms the framework to guide the employees to properly do

their jobs.

Topic Analysis

1. Communication Plan

a. Provide examples of effective communication skills from Indeed Career Guide’s

Communication Skills: Definitions and Examples.

1. Active listening

a. Active listening means paying close attention to the person who

is speaking to you. You can be an active listener by focusing on

the speaker, avoiding distractions like cell phones, laptops or

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other projects, and by preparing questions, comments or ideas to

thoughtfully respond.

2. Volume and clarity

a. When you’re speaking, it’s important to be clear and audible.

Adjusting your speaking voice so you can be heard in a variety

of settings is a skill, and it’s critical to communicating

effectively.

3. Empathy

a. Having empathy means that you can understand and share the

emotions of others. This communication skill is important in

both team and one-on-one settings. In both cases, you will need

to understand other people’s emotions and select an appropriate

response.

4. Respect

a. A key aspect of respect is knowing when to initiate

communication and respond. In a team or group setting, allowing

others to speak without interruption is seen as a necessary

communication skill tied to respectfulness. Respectfully

communicating also means using your time with someone else

wisely — staying on topic, asking clear questions and

responding fully to any questions you’ve been asked.

5. Understanding nonverbal cues

a. A great deal of communication happens through nonverbal cues

such as body language, facial expressions and eye contact. When

you’re listening to someone, you should be paying attention to

what they’re saying as well as their nonverbal language. By the

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same measure, you should be conscious of your own body

language when you’re communicating to ensure you’re sending

appropriate cues to others.

6. Responsiveness

a. Whether you’re returning a phone call or sending a reply to an

email, fast communicators are viewed as more effective than

those who are slow to respond. One method is to consider how

long your response will take: is this a request or question you can

answer in the next five minutes? If so, it may be a good idea to

address it as soon as you see it. If it’s a more complex request or

question, you can still acknowledge that you’ve received the

message and let the other person know you will respond in full

later.

b. Provide staff with expectations for communicating with patients/family members

i. Before speaking with patients, staff members should first understand the patient’s

medical history by viewing their chart.

ii. The staff members should be able to answer patient questions with patience and

poise.

iii. The staff members should use terminology that is understandable to

communicate with the patient and family.

iv. The staff members should respond to patient concerns in a timely fashion.

c. Introduce new communication system: Patient Care Portal

i. What is a patient portal?

1. According to HealthIT.gov, a patient portal is a secure online website

that gives patients convenient, 24-hour access to personal health

information from anywhere with an Internet connection. Patient portals

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save patients time and helps them easily communicate with healthcare

staff.

2. Using a secure username and password, patients can view health

information such as:

a. Updates from recent doctor visits

b. Medications

c. Immunizations

d. Allergies

e. Lab results

3. The portal will also allow patients/families to:

a. Securely message their healthcare provider

b. Check benefits and coverage

c. Update contact information/complete forms

d. Make payments

2. Time Management Plan

a. Provide definition of time management

i. According to Lexico, a new collaboration between Dictionary.com and Oxford

University Press (OUP), time management is defined as “the ability to use one's

time effectively or productively, especially at work.”

b. Explain benefits of time management

i. Less stress and greater productivity/efficiency

ii. A better professional reputation

iii. Increased opportunities for advancement

iv. Greater opportunities to achieve important life and career goals

c. Explain downfalls to poor time management

i. Missed deadlines
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ii. Inefficient work flow

iii. Higher stress levels/Poor work quality

iv. A poor professional reputation and stalled career

d. Categorize daily duties

i. Perform daily monitoring of the health and care of residents to include:

1. Medication

a. Distribute medication to patients by following doctor’s orders as

explained in patient chart

2. Collection of lab work

a. Draw blood

b. Collect urine/stool samples

3. Food

a. Serving meals

b. Assist with eating (when needed)

4. Hygiene

a. Assist with bathing

b. Assist with using the bathroom

5. Dressing

a. Help patients take off/put on new clothes

b. Transport dirty clothes to laundry

6. Transport patients to other units (physical therapy, speech therapy, etc.)

7. Share pertinent information with patients and families

a. Use new techniques and implement patient care portal as

explained in communication plan

Instructional Objectives

1. Staff members will be able to define a variety of communication skills.

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2. Staff members will be able to explain information/updates to patients/family members using

effective communication skills.

3. Staff members will be able to demonstrate the use of the Patient Care Portal system and explain

its benefits.

4. Staff members will be able to define time management.

5. Staff members will be able to differentiate positives of effective time management and negatives

of poor time management.

6. Staff members will be able to categorize daily duties and implement time management chart.

Objectives Sequencing

The Westgate Hills Rehabilitation and Healthcare Center Patient Care training will present the objectives

and instructional materials in a sequence mimicking the day-to-day functions at the Westgate Hills

Rehabilitation and Healthcare Center. Leaners will become accustomed to the daily flow through this

real-world simulation. As a majority of the learners have worked in the healthcare field in the past and

have the certifications and clearance to hold their positions, this training will not cover basic healthcare

duties and job functions. The sequence will illustrate the daily activities that occur at Westgate Hills

including all patient interaction during a 12-hour shift. No 12-hour shift is the same in healthcare. The

learners will be provided with different scenarios so that they are fully prepared. The training will also

highlight various terms and definitions that the learners must understand.

1. Staff members will be able to define a variety of communication skills.

2. Staff members will be able to explain information/updates to patients/family members using

effective communication skills.

3. Staff members will be able to demonstrate the use of the Patient Care Portal system and explain

its benefits.

4. Staff members will be able to define time management.

5. Staff members will be able to differentiate positives of effective time management and negatives

of poor time management.

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6. Staff members will be able to categorize daily duties and implement time management chart.

Objectives Strategies

1. Staff members will be able to define a variety of communication skills.

Initial Presentation: The instructor will provide the learners with a training in an online video

format. The training will describe an assortment of communication skills including: Active

listening, volume and clarity, empathy, respect, non-verbal cues, and responsiveness.

Generative Strategy: Once the video has ended, the learner will be provided with a matching

quiz with the communication skill terms on one side and the definitions on the other. The learner

will be able to clearly match the communication skills term with the correct definition as

documented in the instruction.

2. Staff members will be able to explain information/updates to patients/family members using

effective communication skills.

Initial Presentation: The instructor will provide the learners with a training in an online video

format. The training will demonstrate the expectations of communicating with patients/family

members using the communication skills from the previous segment. The leaners will be provided

with examples of healthcare workers properly and inappropriately communicating with patients.

Generative Strategy: Once the video has ended, the learner will properly simulate a

conversation between a healthcare staff member and a patient using the new skills. This segment

will require the learner to communicate with another learner via video. They will act as the

patient.

3. Staff members will be able to demonstrate the use of the Patient Care Portal system and explain

its benefits.

Initial Presentation: The instructor will provide the learners with a video tutorial of how to use

the Patient Care Portal system.

Generative Strategy: Once the tutorial has concluded, the learner will be able to explain the

functions and benefits of the Patient Care Portal. The learners will be able to actively use the
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system to demonstrate its features. This segment will require the learner to simulate a

conversation between healthcare staff and patient, but via video with another learner acting as the

patient.

4. Staff members will be able to define time management.

Initial Presentation: The instructor will provide the learners with a short video explaining the

concept of time management.

Generative Strategy: Once the video has ended, the learner will be able to clearly define time

management. There will be a short quiz after the segment where the learner will select the correct

definition.

5. Staff members will be able to differentiate positives of effective time management and negatives

of poor time management.

Initial Presentation: The instructor will provide the learner with a video explaining the positives

of effective and the negatives of poor time management. The simulation will showcase two

different workers (one being the positive, another being the negative).

Generative Strategy: Once the video has ended, the leaner will complete a short quiz. They will

categorize which examples align with the positive and which align with the negative.

6. Staff members will be able to categorize daily duties and implement time management chart.

Initial Presentation: The instructor will provide the learner with a video explaining the daily

duties that each employee will perform and how properly time management can make their day-

to-day functions operate more smoothly. The learner will also receive a PDF infographic time

management chart.

Generative Strategy: Once the video has ended, the learner will participate in a quiz where they

will categorize their duties based on the time management chart.

Developing Instructional Material

The self-guided e-learning module was created with Articulate Storyline and Quizmaker.

The learner can move through the training course at their own pace. One of the quizzes requires
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participation from another learner where they will simulate a conversation between healthcare

worker and patient. The instructor will moderate this evaluation based on the instructions and

scenarios located in the appendix.

Evaluation Plan

Formative Evaluation

The instructional unit will be evaluated by one-on-one testers. The training is individual

and self-paced so the evaluation should mimic this. If the evaluations took place in small group

settings, the evaluators may be swayed by someone else’s opinion. The testers will include

employees who have completed the instructional unit. They will provide feedback on the

usefulness of the training and comment on anything that could be improved or changed. Ideally,

the one-on-one evaluations would be in person, but COVID-19 has caused Westgate Hills to

close its doors to all outside visitors. Being in person would allow the developers to view

nonverbal cues such as body language and facial expressions. Questions will include:

1. Did you find the training useful?

2. Would you recommend the training to another healthcare facility?

3. Did you think the training was too short or too long?

4. Is there anything that you would add/remove from the training?

5. Would you benefit from a similar training (layout) with different information?

The testers will also have the opportunity to elaborate on answers and leave additional comments

at the end of the evaluation.

Summative Evaluation

Evaluation of Objectives in Instructional Unit

The learner will be provided with six different forms of assessment. Five will be self-

guided and embedded in the instruction. The learners will have three opportunities to answer each

question correctly. One assessment will require guidance from the instructor and participation

from another learner.

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1. The learner will be able to define a variety of communication skills.

Test item: The learner will have three opportunities to complete an embedded quiz. The

learner will match the communication skill with the correct definition.

2. The learner will be able to explain information using effective communication skills.

Test item: The instructor (a seasoned senior healthcare professional) will judge an in-person

(or videoconference) simulation between two learners. The instructor will provide the learner

with one of three prepopulated scenarios. One learner will act as the patient and another will

act as the Westgate Hills employee. The learners must demonstrate all of the listed

communication skills. The instructor will grade the simulations based on their experience and

expertise.

3. The leaner will be able to explain the components of The Patient Care Portal.

Test item: The learners will be provided with five true or false questions in an embedded

quiz. The learner will have three opportunities per question to get the correct answer.

4. The learner will be able to define time management.

Test item: The learner will be provided with a multiple choice question in an embedded quiz.

The learner will have three opportunities to answer correctly.

5. The learner will be able to differentiate the positives and negatives of effective and poor time

management.

Test item: The learner will be provided with a drop-down quiz in an embedded format. The

learner will have three opportunities to answer correctly.

6. The learner will be able to categorize daily duties.

Test item: The instructor will provide the learner with a daily duties sheet. The learner will

have three opportunities to correctly categorize the duties in order from most to least

importance.

Confirmative Evaluation
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The instructional unit is designed to assist current and new employees with techniques to

properly aid patients who require a high level of care. The training provides clear examples of

communication skills and time management techniques to help healthcare providers efficiently

perform the functions of their jobs. The Human Resources department at Westgate Hills

Rehabilitation and Healthcare Center will monitor the progression of the training. The

management team will develop new modules with useful information as needed. The

management team will also pay closer attention to patient and family satisfaction via the Patient

Care Portal where they will have the opportunity to provide feedback.

Implementation

The training module will be available for all current Westgate Hills Rehabilitation and

Healthcare Center employees and new hires beginning on September 1, 2020. The module will be

distributed by the department of Human Resources through an employee portal. The training must

be completed within 90 days.

Instructional Unit

https://360.articulate.com/review/content/e5902a0f-b7a7-4001-9c03-5017779338d6/review

Summary and Conclusion

At the culmination of the Westgate Hills Rehabilitation and Healthcare Center Patient

Care training, the staff members will be able to use their new skills and knowledge to better care

for their patients. The training will provide the employees with techniques to bridge

communication gaps and enhance time management and production. The requirement is only to

complete the training once, but the learners can access the training at any time for a refresher.

Westgate Hills has the opportunity to expand the training to include more complex topics to

further educate their employees.

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Appendix

Patient Care Training Lesson Plan

Westgate Hills Rehabilitation and Healthcare Center

Instruction Type:
• Hybrid (Computer-based and face-to-face)

Link to computer-based instruction:

• https://360.articulate.com/review/content/dc2c54ed-fff9-4e2b-875b-4e2d21ff8746/review

Materials Needed:
• Computer/tablet
• Internet access
• Link to computer-based instruction
• Daily Duties Sheet (Each student receives one)

Instructions:
• The instructor will introduce the Patient Care Training and to staff members and provide link to
computer-based training.
• Staff members (learners) will progress through the self-led training. Once they finish a section,
the learner will complete a short evaluation. For “Quiz 2,” the instructor will facilitate a
simulation.

Evaluations:

Quiz 1
• Self-guided matching quiz on communications skills.
Quiz 2
• The learner will properly simulate a conversation between a healthcare staff member and a patient
using the new skills. This segment will require the learner to communicate with another learner.
One person will act as the patient and another as the staff member. Then they will switch.
Quiz 3
• Self-guided true or false quiz.
Quiz 4
• Self-guided multiple choice question.
Quiz 5
• Self-guided positive/negative quiz.
Quiz 6
• Self-guided categorization quiz.
REHABILITATION CENTER PATIENT CARE 21

Quiz 2: Communication Simulation

As the instructor and seasoned senior healthcare professional, you will judge the simulations based on
your experience and expertise.

Learners must demonstrate all of the following skills:

• Active listening
• Empathy
• Nonverbal cues
• Volume and clarity
• Respect
• Responsiveness

You will provide the learner will one of the following scenarios:

1. A patient has been diagnosed with cancer. You must discuss options with the patient and family
members.

2. A patient with Schizophrenia is being unruly. You must try to get them to cooperate to eat lunch.

3. Patients’ family members are not allowed to visit at this time due to COVID-19. A family
member called and wants an update.
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Time Management: Daily Duties

Daily duties may vary based on the patient, time of shift, etc. This is a basic categorization of the duties.

1. Communication is always first. Check the patient’s chart and any orders from the attending. Talk
to the patient to see how they’re doing.

2. Food/Medication is next. This will vary based on the medication the patient is prescribed.
Sometimes they will need to take medication before meals, sometimes after.

3. This is followed by Hygiene/Dressing. Give the patient a bath, help them brush their teeth, and
change their clothes.

4. The following tasks are optional. Lab work first, if needed and then transport them to any other
departments (Physical therapy, speech therapy, etc.), if needed.
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References

Communication Skills: Definitions and Examples. (2020, January 27). Retrieved February 18,

2020, from https://www.indeed.com/career-advice/resumes-cover-letters/communication-skills

Medicare.gov. (n.d.). The Official U.S. Government Site for Medicare. Retrieved February 2,

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https://www.medicare.gov/nursinghomecompare/profile.html#profTab=3&ID=215299&Distn=6.

0&loc=BALTIMORE, MD&lat=39.2903848&lng=-76.6121893&name=WESTGATE HILLS

REHAB & HEALTHCARE CTR

Quilter, D. (2019, June 11). What Some Nursing Homes Do To Retain Quality Staff. Retrieved

February 2, 2020, from https://www.forbes.com/sites/nextavenue/2019/06/11/what-some-nursing-

homes-do-to-retain-quality-staff/#1280f96a589b

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