Spalding @ PSL

On Friday the nurse at Select Specialty Hospital told me that the hospital was to have 4 new admits who were on ventilators and that Michael's room was needed. He would have to be changed to a room down the hall with a roommate. I know that Select does not have therapists on the weekends, so I asked if his transfer to Spalding could be moved up to Friday. The doctors said he was ready to move, they just do not like to move patients on the weekends because of the difficulty with follow through. They were able to move Michael upstairs to Spalding. It is on the 6th floor of the B building at PSL, just one floor up from Select. He can have visitors, but they must not interfere with his rehab schedule.
The Physician's Assistant looked at Michael and his chart and gave orders for the weekend. PT and OT came in and checked him over. They asked what his goal was for the day. He said that he would like to walk to the bathroom. They turned up his O2 from 3 liters to 6 liters, they gave him a walker appropriate for his size and guided his short walk. Success! They turned his O2 down when they were done.
It seems like not all the discharge orders made it to Spalding. The wound specialist at Select wrote discharge orders for the care of Michael's Trach hole. These orders were not transferred to Spalding. I tried to work with the Spalding staff to make sure Michael's wounds were attended to, that was a difficult task as it was Shabbat and I didn't arrive until 9PM. All the doctors who could have helped were gone due to the late hour. There were doctors on call but, the nurse did not think that Michael's wound care was an emergency and did not wish to contact the physician on call.
Michael said the PA comes in at 6 AM, so I wrote a note on the board in Michael's room with the questions I have concerning Michael's care.
I showed him the string that turns on and off the light in his room. It takes a great deal of strength to manipulate this string. He said that he wouldn't have be able to turn the light on/off last week. I told him that he wouldn't have been able do it 2 days ago. He was able to turn the light on and off tonight.