How many aides do you have per hall in your LTC? (please put number of pts also.)
How do you change your pts that are far too heavy? The LTC i work at does not have such a thing as a NO LIFT POLICY .....I wish we did....
OK...I only work night shifts every other weekend. This was my first weekends. Friday night, I had a hall with 50 pt...one of them is on hospice..6 with caths...and 5 on feeding tubes....one or two dying. Well, we have four halls and usually four aides at night. Well I went and made sure that all of my people was dry and then found out we was short on a hall so I had to go and start on it. Finished it all but two people and the girl came in (think she planned it..ha ha) So that was my first dry round..we have to do three. Well I passed out ice gave my ensure to four people, stocked my cart, and stocked bathrooms with gloves etc.. Started on my second round and finished..did books, and did last round. Well I have a few heavy pts....which no one wants to help you but wants you to help them. Well when i was doing my books I asked a girl..I said do you know these people by room number? because that is the way that the book is set up..it is not set up my name. She said no I just go through and write what it said the night before and guess..i was like ok...well i looked and the names of the pts was on the bottom of the page. Well I could not remember who had a BM or not. So last night..Saturday night/sunday morning..I made a BM list and put it in the hall so that when I changed someone I could write it down and remember what it was a be for sure. Well, to me this is a good idea and the ther aides and the LPNs and the RN is making fun, but hey it makes me correct and makes their job better. Well we have only three aides there on SATURDAY/SUNDAY morning and so we have to split one hall and I asked who was going to do the books for that hall..they said well we are not going to do it someone else can catch it up. I was like fine I will do it because the regular is not here and she does not know what happened. Then I don't know who had a BM that they changed, so I told the Charge Nurse and she got on to the other two aides and they denied it and said that if they change someone with a BM on a split then they chart it. LIARS.. They don't want to help me change anyone. I think that we should all have a homebase..one hall, then we should go and we should all three or four go and change every person on hall 1 and then go to 2 and 3 and 4. Then we should go and do our ice and stock on our own halls and when you do have a person with a bm put it on a piece of paper in the hall labeled BM and put your name beside it then let the person who has that hall chart it and add that BM list to the book and if any questions then your name is beside the list and a question could be asked to them..that way everyone gets helped and everyone does not get the hard halls, but to them this is a bad idea. To me it gets done faster.
