Daily Journals

EXSC 444-001
Sydney Stansell

Week 14

Monday, November 20th, 2017

 9:00am – 10:30am - Stapled papers together that are the packets for new patients to fill
out when they start the program. This packet will ask for the patient’s personal
information such as address, phone number, insurance, etc. I put together about 200
packets.
 10:30am – 11:30am – during this time I entered in attendance information for the cardiac
phase II education classes. The classes that I was entering into the computer system had
not been taught before so I had to manually create the class to add to each patient’s file.
 11:30am – 1:00pm – Monitored cardiac phase II and phase III patients during exercise.
Paying attention to heart rate and oxygen saturation. I also spent this time gathering RPE
(rate of perceived exertion) measurements from patients during exercise.
Monday, November 27th, 2017
 9:30am – 10:30am – During this time, I handed out cardiac phase III exercise cards to
patients who arrived at rehab for their exercise appointment. I also made sure to make
attendance marks that correlated with who came to exercise.
 10:30- 12:30pm - Monitored pulmonary phase II and phase III patients during exercise.
Paying attention to heart rate and oxygen saturation. I also spent this time gathering RPE
(rate of perceived exertion) measurements from patients during exercise.
Tuesday, November 28th, 2017
 8:00am-9:00am - Daily duty of setting up for pulmonary patients including pulling charts,
cannulas, wrist monitors, etc.
 9:00am – 9:30am – added stickers to pulmonary phase II new patient charts so that the
patients could begin their exercise therapy as soon as they arrived.
 9:30am – 10:15am – during this time, I ran mail and packages to the mailroom across the
medical campus for my supervisor.
 10:15am – 2:00pm - Monitored pulmonary phase II and phase III patients during
exercise. Paying attention to heart rate and oxygen saturation. I also spent this time
gathering RPE (rate of perceived exertion) measurements from patients during exercise.
 2:00pm – 3:00pm – noticed that the exercise floor was running low on sanitation wipes,
so I went into the back-storage room and opened up a box that had a new shipment of
 wipes. I then opened about 10 cans of wipes and placed them in the designated areas for
patient use.
 3:00pm – 4:00pm – During this time, I replaced the batteries in all of the wrist monitors
that are for pulmonary patient use. These monitors are essential for the rehab program
because it shows us the patient’s heart rate and oxygen saturation during exercise.

Wednesday, November 29th, 2017

 9:30am – 10:00am – stickered phase II pulmonary new patient charts for respiratory
therapist so that their new patients could start exercise as soon as they arrived for
their appointment.
 10:30am – 12:30pm - Monitored pulmonary phase II and phase III patients during
exercise. Paying attention to heart rate and oxygen saturation. I also spent this time
gathering RPE (rate of perceived exertion) measurements from patients during
exercise.
Thursday, November 30th, 2017
 8:00am-9:00am - Daily duty of setting up for pulmonary patients including pulling charts,
cannulas, wrist monitors, etc.
 9:00am – 9:45am - during this time, I ran mail and packages to the mailroom across the
medical campus for my supervisor.
 9:45am- 10:30am – during this time, I was responsible for removing empty oxygen tanks
from the exercise floor and bringing out new and full oxygen tanks for patients to use
during their exercise appointment.
 10:30am – 12:30pm - Monitored pulmonary phase II and phase III patients during
exercise. Paying attention to heart rate and oxygen saturation. I also spent this time
gathering RPE (rate of perceived exertion) measurements from patients during exercise.
 12:30pm – 2:30pm – worked hands on with two patients who are twins. One of the twins
was having abnormally low heart rate and seemed out of sorts. I decided that it would be
best to place her on a heart monitor as well as a pulmonary monitor. Her EKG showed
that she was in bigeminy and dropping into PVCs. Because of this we advised her to
immediately stop exercise. She was driven to the Emergency Department. She later made
an appointment with her cardiologist and she was told that she needed to wear a two
week heart monitor to further observe her heart rhythms.
 2:30pm – 4:00pm – During this time I worked on paperwork for the respiratory
therapists. I entered in ferrons and powers information as well as rate your plate.
Friday, December 1st, 2017
 9:30am – 11:30am – during this time I sat in the respiratory therapist office and worked
with her on the rollover of the new month. At the beginning of the new month, all patient
labels have to be renewed and all patient exercise charts (Phase III) have to be reprinted
so that the previous months can be sent to medical records. I made sure that all active
 pulmonary patients had renewed labels and fresh exercise charts. During this time, I also
added labels to the pulmonary phase III exercise charts.
Reflection
This week was interesting because I was able to see how different areas of the medical field
work together when our female patient was having irregular heart rhythms, so we referred her to
a cardiologist and the cardiologist meet with her and placed her on a two week monitor but still
cleared her for exercise. I think it is really cool how patients can wear a heart monitor for 2 full
weeks so that doctors can go back and review the patient’s heart rhythm over an extended period
of time.