Where I work there are three different units: nursing home part, assisted living, and a rehab section. I have always worked on the rehab unit and had at most 10 residents (most are content and able to respond to me). However, yesterday I was pulled to the nursing home part and had 15 residents. How do you all do it everyday? I drove home crying after I left because I knew I could not give each and everyone the care they deserved. All 15 residents were incontinent meaning I did not have to the check each resident every two hours, while obtaining vitals and weights. I truly look up to you all that work in nursing home! I admire each and everyone of you!
I also have one other question for you all...being that most nursing home facilities have a shower schedule, do you all wash each resident up every morning? If I were pulled to that unit again do any of you have any insight or routine you would recommend?
Sorry for the long post, but again I admire each and everyone of you! :-)
Sounds about right to me as far as a nursing home is concerned. We keep two CNA's per hall and there are about 26 residents on each hall but most of the time there is only one of us on the floor at a time between breaks and showers. We usually have 5 showers per day.
We don't necessarily wash everyone off everyday because there isn't time. We do wash the face, pits, and privates on everyone daily though. We also leave the patient in bed on their shower day until we can get them showered right after breakfast. We only do this if they don't object or the nurse doesn't mind though.
Every minute of working there is taken by something that must be done, unfortunately I would love to spend more time with my residents and talk to them. I try to talk to them as much as possible though while providing their care.
As far as routing goes we get everyone up and change them, breakfast for residents, our breaks after residents are done eating, baths, change everyone, pass ice/vitals, lunch break, document, residents lunch, lay residents down and toilet the ones who don't, last break, document, any showers not done, then last round.
After working with the same residents for a while you get to know them and their schedules and it becomes a little easier as you can mostly anticipate things and build a more refined schedule.
Last edit by lillymom on Jan 4, '13
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