Time Management

With all experience thus far on clinics i have found it difficult to establish the amount of time to spend with each patient. With musculoskeletal outpatients the time allocations were restricted by appointment schedules however at times by the end of the treatment session their were techniques that you still wished to apply. With experience less time would be spent on assessment, allowing a more productive treatment sessions. I understand it is a delema that will ease with clinical experience.
On placement at ICU I began to question how long to spend bagging, doing viabrations and how many times to suction etc. When the chest is cleared you have a effective treatment session but when you have remaining secretions you wish to give the patient a break from suctioning which is quite an invasive, uncomfortable treatment. With vibes and manual hyperinflation i wasnt too sure of the effective time to spend on each and literature was lacking.
On placement at Graylands i encounted time management problems as you carry out physiotherapy with non compliant patients. It made you question if you should see these patients or spend time with compliant patients. You do not wish to neglect a patient but if they can not maintain your gains with treatment should we discontinue their future treatments.