Duties of an overnight certified nursing assistant

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    I am a newly certified nursing assistant. I recently got a full time position and I live in Indiana. The starting pay is 9/hr with a .50 shift differential for evenings and nights and a $1 shift differential on weekends. What are the duties that CNA's are supposed to do for overnight shifts since there is an obvious difference between day shifts and such?
    Joe V likes this.
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  3. 18 Comments so far...

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    That will vary greatly based on your facility. One thing I can tell you is that a lot of patients don't sleep at night, so you will probably stay very busy COngratulations, BTW.
    Brebre41 likes this.
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    Congrats! As the previous poster said, it really depends on the facility. But you may still have to do bed baths if not in the middle of the night but it may be before the day shift comes on. You will still have to check on the patients (rounding), turn the patients every 2 hours and assist patients with what they need, because even though the night is for sleeping, it doesn't seem to happen in the hospital lol. But once you start your orientation, they will give you the run down of what is required. They usually start you on days even though you will be working nights.
    Good luck!
    Brebre41 likes this.
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    It's pretty much the exact same as a day job. You have all of the same tasks to do. The biggest difference between day shift and night shift is the amount of times patients call out for help... it's usually less frequent during the night because at least some of the patients are sleeping. Night shift is basically more pay for less work. You can't beat that.
    1feistymama and Brebre41 like this.
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    Quote from calivianya
    It's pretty much the exact same as a day job. You have all of the same tasks to do. The biggest difference between day shift and night shift is the amount of times patients call out for help... it's usually less frequent during the night because at least some of the patients are sleeping. Night shift is basically more pay for less work. You can't beat that.
    I found day and night shift to be VERY different in LTC. Not as different in a hospital. In LTC on days you are getting people up, showering and bathing them, dressing them, feeding them, getting them to activities, and dealing with families and management, so its just a lot more work.

    Night shift was usually a lot slower aside from having to continually do wet checks and repositioning. You no sooner got done with your rounds and it was time to start over again some nights.

    Then at nights you have the sundowners who want to roam the halls all night or go to the bathroom every hour.

    One thing I never had to do when I worked nights was give people showers. That sounds horrible to me, rousing people out of bed at 5 or 6 in the morning to give them a shower? geez.

    Usually the only time I gave someone a shower is if they had somewhere to be first thing in the morning or they were an incontinent mess in the morning and were in the bathroom anyway and it was a shower day for them.
    Last edit by funtimes on May 25, '13
    Brebre41 and marsy82 like this.
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    I agree with funtimes! There are also no meal services during night shift either which is a bonus, so you basically wait for Mrs Pee's a lot to call her bell every 20mins, reposition people and do wet checks. It's actually quite boring and the time drags, i'd much rather be kept busy but it is nice to have a break
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    I can tell you this.... Despite what you hear if your working in a Nursing Home LTC Night shift is alot harder in my opinion. At least during the day residents are up and about and do not have to be rounded on Q2.
    But at night every Incontinent resident is In bed and must be rounded on Q2. But wait it gets worse. During the day there are 2 CNAs per hall at night there is 1 CNA per 2 halls. And if you run into lax situation with a couple of residents and you have to do bed strips your on your own. It's very stressful and very hard to work nights. My first CNA job I was a night aide at a Skilled Nursing LTC facility. After 3 months I resigned and took a day job 6-2 at another LTC Skilled Nursing Facility. I've been there a year.'day shift is alot ALOT easier and better IMO
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    At our local hospital, we do hourly rounds on every patient. We get around 9 patients each. For those who are incontinent or bedridden, every 2 hours we change and reposition them. We do QC for the glumeters (CNAs do blood sugars), ADLs for every patient, wash one complete patient, pass ice water, and perform vital signs and necessary weights on every patient. Sometimes i love 11-7, sometimes i hate it lol.
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    It isn't duties per se that are giving you a pay bump. Incentives like pay increases for a certain shift are in my experience nothing more than that--incentive to work an unpopular shift (nights, weekends).

    Congrats!
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    Thank you all for your replies. It really helps me getting other people's perspective on things! BTW I work at a LTC facility with over 130 residents.


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