[Schmoo1022]

At your facility how do you handle Breakfast? They way we are doing it now, seems off to me. Out of a 32 bed unit, everyone, except 5 residents are required to be brought to the dining room.
They get them presentable, bathrobe and teeth, and out to breakfast. Then the CNA's have to go bring all these resident back to get them washed and dressed for the day. Most of these patients are total care. It seems like a lot of extra work. At most places I have worked, only the people that chose to eat in the dining room, ate breakfast there. Lunch is really our "nice" meal.

Just wondering

[PBAJS]

It is more time consuming to get them up, presentable, move them to the dining room and then back again.


Our residents get their breakfast in their room, most in bed, a few like to sit in a chair.

[CT Pixie]

When I worked LTC, the night shift got up a few patients (2 patients per aid..) that were early risers. They were up and dressed and brought to the dining area on the floor, no one went to the "formal dining room" for breakfast. The self cares either got up and dressed themselves for breakfast and wentto the floor eating area or they stayed in their room eating sitting in their chair.

All the others were pulled up in bed, hands/faces washed, mouth care, teeth brushed or dentures cleaned and put in their mouths.

After breakfast is when the real crunch of getting them up for the day started.

It does seem alot of extra unneeded work to get them all out of bed, bring them to the dining area and then bring them all back to do AM care..

[sofaraway04]

where I work none of the patients go to the dining room for breakfast. after handover which finishes approx 8am, we go round a and sit up in bed/ sit out in chair patients for breakfast. most of the independant self carers will not get washed before breakfast.

seems like a lot of extra work, do the pateints like it though? if it makes a big difference to them eating and enjoying breakfast then it's probbaly worth the extra work.

[marjoriemac]

In my work, we start at 8. If we are lucky the nightshift have 2 out of 34 residents up. 2 nurses start the meds, 6 carers start getting folk up and 1 carer is allocated 'feeders' ie they start to feed residents who cannot feed themselves and stay in bed until after breakfast (about 8 residents). The other carers bring down residents as they are dressed and serve breakfast to them, the nurses doing the meds are present to supervise them eating. On a good day, all residents have had breakfast by 10.30. Lunch starts at 12.30.

What gets me though is that at lunchtime it is grand as you have 7 carers to help feed and serve meals, plenty. At dinner time, the same job is carried out by 4 carers - not so easy!

[jill48]

It is more work, but in most cases it provides the resident socialization and gets them up and out of their rooms. I like the idea. We do it too at our work.

[night owl]

At our facility on nights, our UM expects 75% of the residents washed dressed and OOB for breakfast by 0645-0700 and are all expected to be fed by the time day shift arrives at 0730. Our census is 60 when we have a full house, so only a handful are left in bed. Approx 10 residents take themselves to the dining room and the remaining residents eat on the unit either in their rooms or in the dayroom. We usually work with 4 CNAs and 3 nurses.

[lovingtheunloved]

The only reason most of our residents eat in the dining room is because they don't care. If they want to eat in their rooms, outside, in the hallway, whatever, they do. Night shift gets most of them up before breakfast, unless they don't want to get up. We have a late breakfast for those who like to sleep late.

[nightmare]

Originally Posted by marjoriemac

In my work, we start at 8. If we are lucky the nightshift have 2 out of 34 residents up. 2 nurses start the meds, 6 carers start getting folk up and 1 carer is allocated 'feeders' ie they start to feed residents who cannot feed themselves and stay in bed until after breakfast (about 8 residents). The other carers bring down residents as they are dressed and serve breakfast to them, the nurses doing the meds are present to supervise them eating. On a good day, all residents have had breakfast by 10.30. Lunch starts at 12.30.

What gets me though is that at lunchtime it is grand as you have 7 carers to help feed and serve meals, plenty. At dinner time, the same job is carried out by 4 carers - not so easy!

You are so lucky to have such a great staff ratio!! For 35 we have one nurse and three carers on nights ,we get up between 8-10 residents who are early risers.On day shift there is one RN and 4-5 carers depending on our resident occupency level.

[kmarie724]

At the facility I work at (I'm a CNA), we get everyone up and dressed by 0815 for breakfast. On a good day, on each floor, we have 2 Noc aides who get up 4 residents each. Days aides start at 6am (there's 6 of them per floor if we're fully staffed) and get everyone else up. There's rumors that we're going to start having open breakfast where residents can come and go to the DR as they please in the AM, but there hasn't been any official word on it.