Charge Nurse did CNA work. Learned A LOT. - page 3

by arelle68

6,580 Views | 27 Comments

I did the work of a graveyard CNA last night on my Alzheimer's unit. There was no CNA to cover, so I volunteered to stay another 8 hours. I found out everything that my CNAs should have done, and didn't do. I also found out... Read More


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    You made an excellent point and it sounds favorable, but dixiecups statement was completely different than what you addressed. It's awesome to hear what you really meant, but I believe it is still good to hear what dixiecup is saying. You were making two complete different statements and you ignored what she said as if it didn't exist. Her response was according to what you said, but apparently that is not what you meant. So, kudos to both of you.
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    Quote from Dixiecup

    On the other hand, if a CNA has a perfect hall, they get a smiley face on their paper and we keep track of how many "smiley faces" everyone has. They can trade in their smiley faces for rewards in a little store we have with prizes of sorts in it. You would not believe what a motivater this is for the CNA to have a perfect hall. They love shopping in that store!
    What? That's incredibly juvenile...
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    True. That is very juvenile, although I can see how that kind of system would work. It's their approach with it, that is wrong. It felt belittling to read, but then on the other hand I think a reward system is great. It takes a professional, mature, caring individual to be a CNA and their words and attitude do not support that.
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    Quote from fuzzywuzzy
    What? That's incredibly juvenile...
    Well, it works for us and at least we are doing SOMETHING to show appreciation. Our CNA's think it's great and get quite upset if they think we havn't tallied thier smiley faces correctly. No on has a problem with it. If they see me coming down the hall they will sometimes ask me to come back in a few minutes so they can get that smiley face!
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    If the "smiley faces" help make the work enjoyable, gets the resident's the care they should have and everyone has fun doing it... go for it!

    We have contests similar on occasion and it seems to help motivate ALL the staff. You know how one unit or shift likes to say "they" are "better" than the others?.. well, it gives them a chance to "Prove it"!!

    I think it is important to not only DO a good job, but to enjoy it as much as possible. Not that it should be made trivial, because our work is vitally important!

    Yes, it is part of the supervisors role to check up on the aides. If they don't like it, they probably aren't doing their job......AND they know it, or they wouldn't be defensive.

    I think you are on the right track, OP, just continue learning and guiding!

    BTW, I worked as an aide for 6 years before going to LPN then to RN. I worked in hospital and LTC.
    Last edit by silverbat on Mar 15, '10 : Reason: forgot something to say
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    I think your getting a little defensive. I said it sounds like a good system, its just the way you originally addressed it. It did sound demeaning. The way you said it. May be you don't hear it because your use to it. But for someone on the outside looking in, it didn't sound right. It sounded like you were talking about grade school kids instead of mature adults. Thats all. Smiley faces are good!
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    At the begining of the shift I make my expectations known and update my CNA's on resident changes and the DON's concerns. I end this brief meeting with "Excellent care makes HAPPY residents and happy residents use call lights less." Nothing is a greater motivator than not having to listen to call lights Second, our facility requires "compliance rounds." This can be and started out as, checking everything they are suppose to do by the end of the shift from mouth cares to positioning devices to low beds, etc. Now, since they know what we are looking for, we do a "focus compliance round" (i.e. call lights in place, mouth cares completed). However, it is best they don't know what the focus will be. We fill out a worksheet with all of the things that need to be corrected (and in which room, bed) before they leave shift, and sign what they corrected. Again, great motivator because no one wants to go back and do what should have been done. Yes, it is TIME consuming for you but believe me it worked when we began and continues to remind everyone what needs to be done. You will find less and less wrong and by the time it becomes routine it will take but 5 minutes or so because almost everything is RIGHT!

    A "Great Job!" and "Thank You for your help!" are in order at the end of the night when all is well. I think we all forget how simple phrases can make people feel needed, esp. at their jobs.

    As a whole, our facility also has a couple rewards systems. 1) A "Star Performance" board which is based on our facility's mission statements. If someone writes you a note for something POSITIVE you did and posts it on the board you get a treat with your note at the end of the month meeting. 2) Laminated cards for a job well done. If you collect 3 you can go to HR to get a treat of your choice (pop, candy, popcorn,etc.) Who doesn't love FREE stuff!?
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    Touche!!


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