Re: What is a TYPICAL day as a CNA like?
I work in a nursing home on the 3-11 shift on a dementia unit. Some days I have to float to another unit...but that's a whole different story right there! lol I'll just describe my day if I were on my regular unit.
The first thing I do when I arrive is get my hallway assignment, a toileting sheet, transfer instructions, and sitting assignments. I typically have 8-10 residents, depending on which of the 4 hallways I am on.
Since our residents are here because of their dementia, an STNA is required to sit with the residents in the TV room and dining room, where most are on chair alarms for their safety. If there are 4 of us, I usually sit every 2 hours for 30 minutes at a time. If there are 3 of us, which is rare, we have to sit every hour.
After I gather my papers, I make rounds with the day shift and the oncoming nurse and sign off that I have seen the residents; sometimes they are at activities but I HAVE to make sure I mark down that they are off the unit. If I don't have a sitting assignment at 3, I prepare my linen cart with 1 plastic bag for regular linen, and 1 for disposable briefs. I also help with filling out the appliance record because we have to make sure every resident has their respective hearing aides, glasses, and dentures. We have NOSH around 3:45 and I help pass out the snacks and drinks. Then I toilet my people around 4 or later. Depending on the day, we might have Bingo, watch a movie, or participate in chair exercises.
Around 4:45, the STNAs need to help transfer residents from the TV room to the dining room. Then we all help do vital signs for the nurse while we prepare for dinner around 5:45-6. Most of the residents are independent with eating, and all they need is for us to do is bring them their tray, cut up their food, and pass out their drinks. Around 6:20, one of the STNAs needs to write down the intake in the Nutritional book and all of us take finished trays back to the food cart. After that, we transfer everyone back to the TV room. When I'm done transferring, I gather my blue linen cart and pass my linen, including footies, gowns, waterproof pads, and soakers and make sure the bed alarms are working properly. If a resident has to urgently use the toilet, I will take them around this time.
Starting around 7 or 7:30, I give my baths. Our unit requires that we divide the baths up evenly between STNAs, so some days I will have one bath, but I never have more than two. I tend to ask the residents when they want their baths, so some days I will take a few people to bed that I know like to go early before I give someone else a bath that is more independent. After I am done giving a bath, I need to pull the call bell to alert the charge nurse that I am finished so she can conduct a skin assessment. I will later write down what she told me on my skin sheet to turn in later.
For the residents who don't receive baths I help them go to the toilet before bed, dress them in a gown and footies, take off Ted hose if need be, brush their teeth or wash their dentures, and do peri care. After I help them into bed, I put down mattresses or mats if the nurse requires it to prevent falls. I then put their hearing aides, glasses, and dentures into the clean utility room to lock up for the next day. Every resident has their own cubby, so we are able to keep track of them. In addition, I go back into the room and put their clothes in my plastic bagged linen cart, and I come back for their disposable briefs later (infection control!

) I also try to make sure that I have given all my unmedicated creams to the residents who need them.
Our unit requires that we have cleaning assignments as well, so I tend to do my cleaning after I know everyone is in bed. I either clean the TV room, the dining room, or the kitchen or restock Ensure in the fridge. I then do my rounds around 10 and make sure that the residents are comfortable and dry (you know what I mean

).
After rounds, I complete my documentation. This includes bath sheets and bowel records, bed alarm records, rounds sheets, skin sheets from baths, toileting sheets, transfer sheets, and our hallway assignment sheets. These all need to be turned into the charge nurse by 10:30, and after that I take my linen cart and throw each bag down their respective laundry chutes. If my blue linen cart is getting empty, I try to restock it with whatever items are needed. Throughout the night, call lights will flash so I go in the room to see what the resident needs.
Night shift comes in around 10:50-11, so I conduct my rounds with them and sign off on their assignment sheets and the round sheet in the nurses' station. The rest of the STNAs and I wait until 11:20 so the night shift STNAs are able to get prepared in a timely fashion. Then I clock out and go home!
Wow...that was a lot of explanation!

I love where I work, and even though it seems confusing, I was able to get into the swing of things with how the unit operates. My co-workers and I help each other out when necessary, and I'm also glad the unit supervisor is supportive and organized. I hope I thoroughly described what a typical day for me is like at a nursing home.
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