Slower pace environment for CNA's?

Nursing Students CNA/MA

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I am a new-ish CNA. I have been working at my first CNA job since July 12, so I just had my 90 day review, which went fine. I work in a long term care facility. I am feeling pretty conflicted about whether or not I want to stay at this job. If you have time, please read this post and share any opinions/advice you have for me. Here is what is stressing me out at work. I have no problem with any of the things we do for residents - "poop", "pee" and "wiping butts" do not bother me in the least, as I know these folks need help and I hope one day, if I need it, someone will help me!!! I also don't mind working hard. I am not lazy, and I want to do the best job I can. HOWEVER.... I do NOT enjoy the general atmosphere of "hurry, hurry, HURRY!!!!" that exists in my workplace.

Apparently I am still too slow at my job, and my coworkers frequently voice their frustrations to me. I understand that they might be stressed because me being slow makes "more work for them." I work 1st shift and the morning get-ups are the worst part of my day. We have 26 residents on our wing, and we are supposed to have them all up for breakfast by 7:45am. Right now, we have maybe 4 who are "independent," but we also have 15 who are an assist of 2, so you can't just do them by yourself. We are supposed to have 3 aids and a bath aid, who usually gets up about 3 people, as they get their baths before breakfast. Anyhow, I have been told to make it a goal to spend only 15 minutes getting a resident up, washed and dressed for breakfast. I am down to 15 minutes once they are on the "potty chair", but then it takes a few minutes to clean up the bathroom and get to the next room... and that doesn't include the time actually getting them up out of bed. In reality, it is taking me about 20 minutes per resident. I am working to improve my speed, but I refuse to forgo the gait belt (which many of my coworkers do) or the basin, because I think it is silly to have one way to do things when State is in the building and another when they are not. I want to do my job so that State could walk in at any minute and they would think it was just fine. Even with starting at 6:15am, the most people I have had up and done by 7:45 was 4 people.

It seems there is a double standard going on here. The DON and ADON, and also the nurse on our hall, have told me they appreciate my thoroughness and that I should do my job right and not worry about the "hurrying" factor. My fellow CNA's, however, will poke their heads into a room where I am helping someone and stand there and say "Let's go!! Get a move on here!" Which does not help, by the way, as it just stresses me out and makes me fumble things. I feel like there is some sort of weird conspiracy where the administration tells you to do things the right way, but really wants you to cut corners as long as you don't get caught. That is what most of my coworkers do, and they get mad at me because I won't do it.

OK - I am sort of rambling here. I guess what I am wondering is this - is there an environment where a CNA could work where patience and thoroughness are valued more than speed? I have applied at the two local hospitals, but I feel kind of guilty about it, like I am a quitter or a traitor. I do not look down on LTC - I applied there because I wanted to care for older people who need help. But this environment feels toxic for me. I just can't spend my days hurrying and being yelled at. I also will not hurry a 95 year old woman as she is getting out of bed. Is this what I will always find in LTC? Would hospital work be any different? I don't personally know anyone who works as a CNA at a hospital, so I don't have anyone to ask.

I would appreciate any feedback. Please know that it is not the work that bothers me - body fluids and messes are no problem for me, it is life and folks need help with it. I just hate to hurry all day long and feel like a loser when I am not the fastest one in the bunch. I hope I don't get burned too much for this... :crying2:

Specializes in Skilled Nursing/Rehab.

Oh yeah - I was able to trade with someone at my old job, so I am attending orientation at my new job this coming Monday. Yee haw!!

3rd shift is alot calmer. I worked 3rds and went to school I would work all night then go to class till like 11 then go home and go to bed til like 9 pm. With 3rds being slower i was able to study while i was there.

Specializes in Nursing homes.

Hi sweetie, I'm so sorry for the late reply! I just wanted to say that you sound like a really sweet and caring aide. I'm the same way. You should ask those aides how would they like to be rushed out of bed at an ungodly hr in the morning to wait a while for breakfast. I'm not saying talk smack or cause trouble, I just know with my situation, they back off a little less when you speak up. I also refuse to rush the residents. They didn't ask to be in a home and they're aides, NOT the unit manager or supervisor. So, if one day you decide to cut a corner, will any of them help you out and go "oh, we suggested she could save time by not using the gait belt"? Of course not.

Specializes in Skilled Nursing/Rehab.

I had my first day on the floor at my hospital job yesterday. I am now working on a Skilled Nursing/Rehab unit. Let me just say that I LOVED IT!!!! The aid who was supposed to train me called in sick, so we had only 2 aids on the floor (not counting me because I was in orientation.) Each aid was assigned 10 patients. This may sound like a lot, but the entire day was WAY more chill and manageable than ANY day I experienced at my LTC job. If this is what it's like when we are short, I'm in! Don't get me wrong - I am not lazy - but it was nice to do what needed to be done without hurrying. I think the best thing for me was NO MORNING RUSH to get people to the dining room. Our goal is to get people washed up and dressed before their therapy appointments - which range from 8am to 11am. That was totally doable.

I know that there will be stressful days on this unit, as well, but I loved my first day and I feel like I made the right decision. I may start a new thread if I have more to share about this new job! Thanks for listening/reading!

Specializes in Nursing homes.

That's great sweetie! I'm glad this job is much better. I'd like to get in a hospital but I have to have hospital experience or be in a nursing program

Specializes in Just starting out in a Nursing Home..
:smokin: I did my clinicals at a Nursing home first shift. I know what you mean..and I was a student so the pressure was not there for me as much. To me you have to keep the critical points togeather and improvise the right way to do things. So long as body mechanics are right and no one gets hurt with lifting..which to me you should take your time so no one gets hurt, and you should always wear a gate belt..always..you should always have a partner..when you are new..always..and if you co workers are busting your bum bum..its only because your the weakest link and probably a kind person..your just new it comes with the territory..I say dont be defensive about it..its hard not to be..but just breath it in..laugh..and learn the right way and in the long run i do believe you will develop efficiency for you and your patients will like you all the better for it. Keep your chin up girl;)

I'm newbie too. Its never fun to be vanilla;(

I just switched from working the morning shift at a LTC facility to the afternoon second shift. It is a lot slower paced then the morning/day shift. I personally am not sure how much I like having down time, but if you feel rushed then maybe switching shifts will help you feel more comfortable working at a slower pace. However, there are going to be times when you feel rushed at any time during the day.

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