Yesterday I, Tiffany worked 1st shift hours being 7:30am-3:30pm. After clocking in and reading the log book, I started upper ranges on Samantha Johnson and only stopped when her meds were needed to be given. After I completed one side I then put her green hand splint on. While waiting the hour for her meds to settle I completed the other set of uppers on her arm. I then changed her, she did not soil her clothes so I had to need to remove her pants completely or change her socks. I laid her down on the mat table on her right side and began to do her lowers. When I completed those I put her knee immobilizers on and repositioned her on her left side; I switched her hand splints shortly after. I completed the other residents ranges and programs until it was time for Samantha’s lunch. I changed her again and then set her by the med closet 1. While waiting for her lunch to settle I did her Springboard, Podd, Yes-No, and her other programs. I laid her down again on her right side next to me while I completed the other residents ROMs and programs. I changed her again when I removed the last hand splint, and another time barley after 2:00pm, both times there was no need to change her pants or socks. Samantha’s mood was normal through out the rest of the day.

I worked 1st shift again today and followed a similar pattern. Samantha was in her chair while I did all her upper ranges. After the time has passed that I could lay her down, I changed her and then laid her on the PT table on her left side so she could watch the enrichment program, with her knee immobilizers on. Before lunch I changed her (I had no reason to change her pants or socks during the change) and put a hand splint on, I put her in her chair so she could have her lunch. I then began another residents ROMs after completing those, I went back to Samantha and did her programs (Springboard, Podd, Yes-No etc). I checked her and seen that she did not need to be changed and laid her down long ways on her left side, with her opposite hand splint on and gave her a stuffed teddy to cuddle with while she was beside me (I was completing the other residents Programs and ROMs). I changed her one last time at 2:00pm and I had no reason again to change her clothes.

Each time I laid her down I had her green long pillow between her legs. Each time I changed her I had no reason to change her pants or socks.

Thanks,