Background Information: I work in a LTC facility with 74 residents, most of whom require extensive assistance. In addition, about 10 of them require being lifted with a hoyer. On the 11-7 shift, we only have 3 CNAs, as long as no one calls off. The nursing home is divided into three pods, with one CNA per pod. We are required to do typical CNA tasks throughout the night, such as rounds at 12, 2, and 4, as well as showers and general housekeeping procedures. However, everything becomes very difficult at about 5am, when we have to start getting people up.
Last night was my first night off of orientation, and I am seriously contemplating quitting. I have worked 7 shifts and have come home in tears about four of them. For the first 6 days, I was on orientation. Rather than adding me to the three aides so that I can observe and become familiar with the job, they eliminated one of the three aides so that they would not have to pay four CNAs. As a result, the CNA that I was following and I were required to handle 1/2 of the 74 patients in the facility. When it was time to do our "get-ups", we only had to do one of the pods, which happened to be the intensive care pod. Even with me and then other aide splitting up and getting people up on our own, we ended up staying after 35 minutes. So basically, both of us moved as fast as we possibly could, did absolutely no standing around and did not even take time to use the bathroom, and it still took an extra 35 minutes to finish the job typically required of one CNA. I was required to stay over 4 days of my orientation because we were not able to get up all of the people required in 2 hours.
Yesterday was my first night alone. I was assigned 15 residents to get up in 2 hours, 3 of which were hoyers. I layed out the residents clothes, briefs, and towels during my last round so that I could have a head start on my get-ups. Once five o'clock came, I moved as quickly as I could from room to room waking people up and getting them dressed and cleaned up. When the 6 o'clock aide came in, I asked her if she could help me get my three hoyers and she replied "The 11-7 aides need to help each other out...I don't have time to help you and get my people done, too." (She was assigned 5 people to get up, one of which was hospice and requested to stay in bed). Then, when it came time for me to leave, I had four people that I was not able to get to. I stayed over ten minutes to try and finish up, and then the 6 o'clock aide came in and said "This shouldn't take you this long...It only takes me an hour and a half tops". This really bothers me. First of all, I highly doubt she could get all of those people up that quickly. Secondly, most of the aides that do get to all of their residents up (typically around 15-20 in two hours, and these people require a lot of assistance) force them up, throw on some clothes and put them in their chair, neglecting to wash them up, put in their hearing aids, dentures and whatnot. They just literally change their clothes and put them in their wheelchairs. Then, the nurse that was on my pod told me, 15 minutes after I was supposed to leave, that I needed to weigh two people. So while I was getting the scale, the DON came and told me I need to leave immediately because my shift had ended and that I needed to tell the nurse and the day aides that I was unable to complete my job. THen, she yelled at the nurse, who then ripped some papers out of my hand that I was supposed to give her and then walked away. Another one of the new aides had a similar experience but had to stay over until 9am because she was on the intensive care floor and was required to get up 17 residents, 5 of whom are hoyers, in two hours.
Is this typical? I feel pretty awful for quitting after just 2 1/2 weeks of work, but I don't get the impression that all nursing homes are like this.