I am a nursing assistant from the float department and I work the day shift. I had 13 patients on my side of the unit. I usually come in early to the floor before I clock in to get oriented first since I am from the float pool and every floor is different as to how they want vitals, etc.
The other nursing assistant came late so I just chose a side since I didn't know which side she is usually on. Then when she comes, she says she usually has one side so I just let her have it since it was her floor. But I find out the side she chose was the side with mostly "walkie-talkies" and my side, mostly partial assist or complete care. Anyways, I let it go and introduced myself to the nurses and got a brief report after they got their reports.
I had to do 9 blood sugars out of the 13 patients before their breakfast came. I tried to do a few washes, not the whole head to toe, at least their face and help brush their teeth. Then it was time for morning vitals so the nurses can give their meds. Did I take the 15 minutes morning break like the other nursing assistants? No way. Within those 15 minutes, I'd rather do another wash. As I'm doing vitals, some needed to go to the bathroom so I'm assisting them, and that takes time away. Bed alarms are going off so I'm running out of the room trying to make sure the patient is okay. I try to put in the vitals as soon as possible. ( I always panic about this..I don't know why..)
As soon as vitals are done, I try to take the trays away after they are finished so I can know how much they ate so I can put them into the computer. While I'm doing this, I empty any foleys, urinals, help with bedpans, etc and put them in as well. Some patients take longer in the bathroom and need more help which takes more time. Then it's the lunch sugars, again 9 blood sugars. Lunch trays setups, record what they ate. Afternoon vitals come along. Did I get to change their beds? NO. I think I changed 1 bed. I did a head to toe wash for 1 patient because they family was being rude and cranky saying how no one washes him etc. Bed alarm going off again for 1 patient because he's bed rest and he keeps trying to get out of bed. I'm trying to put in the vitals and all the intakes and output. Did I take a lunch break? NO way.
What I felt horrible at the end was one patient who was a complete care and I couldn't even wash him. All I did for him was check his vitals, empty his foley, help him eat his lunch. For that patient, a new orientee nurse was assigned to him and the nurse had only 2 patients. I asked her if she needed any help and she said no, she will ask the nurse that's training her if she needed any help so I let it go.
I don't know what's wrong with me...do I sound slow? I feel like I should be able to do more and when I come home, I feel like I might've neglected some. I don't have to wash all the patients right? I try to but it's hard to get to all the patients with the washes...