3rd shifters, what are your duties?

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  1. This is a discussion on 3rd shifters, what are your duties? in CNA/MA - Nursing / Medical Assistant, part of Nursing Student ... Sometimes I feel like I am a house keeper. Here is my list of things I do for the night. We have...

    by Jul 25, '06
    Sometimes I feel like I am a house keeper. Here is my list of things I do for the night. We have two cna's on duty for third shift, thats it. Oh, I also work in a CBRF assisted living. about 30 residents.

    We have about 3 hrs of cleaning to do
    clean bathrooms, toilets, sinks. showers, mop floors, clean windows, hand rails, etc.

    Answer call lights for bathroom assists, there are about 8 residents that get up during the night.

    Wash wheel chairs

    2hr room checks. We just make sure they are still breathing.

    Get up the partial assist patients starting around 5am. Helping them with peri care, and getting dressed. Most can brush their own hair and teeth and everything else.

    make beds for the residedents we get up. Straighten up their rooms, suites.

    help get breakfast ready, (make coffee, set up bowls of cereal.)

    make sure med cart is stocked with supplies, and water. The med passer comes in around 7am.

    thats about it. We have about a total of 2-3 hrs of down time, I usually find something to clean, or just sit around if there is nothing else to do.

    So what does everyone else do on third shift?

    Cari
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    by CJolin Jul 25, '06 6:55 pm
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  3. 13 Comments so far...

  4. Jul 25, '06 by
    I'm Memory Care unit Assisted Living

    -I do about 30min if cleaning of public areas of unit
    -Checks every 2 hours, toilet or change as needed
    -AM cares on one person (scheduled) but sometimes more when ppl want to get up
    -Blood Sugars and Nurse Set up Med passes
    -Set table for Breakfast make sure kitchen sends up missing supplies
    -Attend to emergencies and all that fun stuff (spent good chunk of last night packing a nose)
    -Put away laundry (another aide does since I can't leave memory care)

    I think thats all. It varies night to night. I get a lot of down time too. I usually bring a book or homework.
  5. Jul 25, '06 by
    EEeep! i double posted.

    Bad Casi.



    yeah I get a little odd after the night shifts...
    Last edit by casi on Jul 26, '06
  6. Jul 25, '06 by
    Im a CNA working private duty on 3rd shift. Here are my shift duties.

    9pm change kangaroo bag and start new feeding
    vent check
    apply eye med

    10pm apply eye med
    chart heart beat and pulse ox stats

    11pm apply eye med
    start nebulizer treatment
    vent check

    12mid apply eye med
    chart heart beat and pulse ox stats
    restock med supply cart

    1am apply eye med
    vent check
    change trach dressing

    2am apply eye med
    administer Reglan med through g-tube
    chart heart beat and pulse ox stats

    3am apply eye med
    vent check
    make a list of supplies we need to order

    4am apply eye med
    chart heart beat and pulse ox stats
    g-tube care

    5am apply eye med
    chart heart beat and pulse ox stats
    finish up paper work
    sterilize nebulizer sets and g-tube syringes

    6am apply eye med
    vent check
    add 440cc H20 to feeding bag
    get ready for report

    Thats pretty much my entire night. In addition to what I listed, I offer my patient a urinal every 2 hours and respond to any high pressure, low pressure alarms on the vent. My duties are usually pretty consistent.

    Hope this helped!
  7. Jul 26, '06 by
    I keep hitting wrong buttons and posting wrong things. I really need to not try this whole post editing thing again. Sorry
    Last edit by casi on Jul 26, '06
  8. Jul 26, '06 by
    i work in ltc/snf and on 11-7 we have to make 3 sets of rounds (change and reposition incont. residents, toliet those on tolieting sched., check in on the rest). we pass water pitchers to all residents, clean wheelchairs and walkers, a few each night. clean out the fridge. and in the morning depending what unit your working get some residents up and preform am adls (on two units you get 2 residents up each, another you get 5 up). and of course answer the call lights and charting.
  9. Jul 27, '06 by
    This is a good topic. If I get the one I applied for it will be 7p-7a, but ICU, so I'm guessing there would be a lot more constant work there? Like repositioning and stuff?
  10. Jul 31, '06 by
    hey all,
    I work on a mother/baby unit so I don't do repositoning, diapers etc so here goes:
    1. do vistals on mommies
    2. do peri care
    3. answer call lights which is a lot cuz new mommies are needy
    4. stock
    5. prepare rooms for post delivery
    6. accu checks
    7. d/c saline locks & foleys
    8. help to take care of babies ...feeding, diapers etc
    9. and whatever else the nurses need
  11. Jul 31, '06 by
    31 years ago when i was a nursing assistant in a nursing home while i was an rn student, we had to collect up all the bedpans and urinals during our night shift (there was a schedule of which rooms to do this with), scrub them, sterilize them in a large steam sterilizer we had, and then return them to the patients who needed them and place the clean ones n the cupboard. we also washed wheelchairs. we also had to make sure that large lumps of bm was washed out of the linens that went to the laundry. sometimes we got so short of patient gowns that to "save" on linen we would drape a wet patient gown over a chair in the patient's room so it would at least be dry by the next round. that, of course, is unheard of today and is bad practice. but, we're talking about 30 years ago when you did what you had to do. no gloves then, kids. we had to wash our hands. my hands were often red and sore. i used to use a product called aquacarehp (the formula now is much different than it was then) to help sooth the burning pain in my skin from all the handwashing.
  12. Aug 8, '06 by
    Nights in the ER are much like days, but here goes.

    Transport patients to radiology and back.
    Meet medics in the rooms and settle patients.
    Take vitals when asked
    Stock fresh linen and pull dirty linen bags from rooms
    Answer call lights
    Help patients to the bathroom or on/off bedpans
    Search the hospital for carriers
    Fill the blanket warmer
    Clean rooms after discharges
    Preform EKG's
    Assist nurses with foleys, combative patients, or anything else