[QUOTE=shel_wny]No idea about the 1.5. I know we have first shift, second shift, and third shift. Perhaps 1.5 is between the first and second? That's just a wild guess. Time and a half would start when you've surpassed your 40 hours for the week. Did she use it in that context? Definitely ask her. You'll have lots of nursing lingo whizz by your ear and in order to learn much of anything at all you have to politely stop the person and ask them what they mean by that.
As for who a CNA reports to, the CNA typically meets with the LPN or RN for report during the first few hours of the shift. That is when the nurse tells the CNA what to look for in what patient and what to monitor (TPR, behavior, depression, sores, aches, bowel movements, etc). As the CNA you will be spending the most time with the resident and you will be the first to notice a change in their mood, confusion level, a red spot that could turn into decubitis, a bruise, skin tear, and anything else. It takes about 10 minutes and it's the only real communication between nurses and CNAs except for any time during the shift when a resident complains of pain, when the CNA notices a mark or a sore, or when a nurse is needed to do something that the CNA cannot do. Thereafter you know what you need to get done and you do it. You toilet folks, change those who are incontinent, clean them up, get them up, dress them, feed them, bathe them, and do just about anything for them that they cannot do themselves. It's quite challenging and it takes a good bit of multitasking. It's rewarding some days and heartwrenching others. I'm brand new to LTC so I'm not quite sure what to think of it yet. It's very manic. I feel it can only get better as I get used to it all. I just keep telling myself that I'm doing something worthwhile and that I'm helping make their last years a little bit better.
As for how many CNA's work in a NH...that varies. Ours is supposed to have a 2:20 CNA to resident ratio. That's a big joke. It's closer to 1:10 as we are always understaffed. They staff the first floor well as it's part rehab and the residents are more alert and go home quickly to either badmouth our facility or praise it. I'm on the top floor - the 3rd floor. We're the heaviest floor and for our 60+ residents there are often 3 CNAs, sometimes including floaters.
I hope that helps. If you have any more question just pm me. I'm pressing for a CNA Corner like the LPN corner because so many posts get mixed in here, in the General Nursing Discussion board, the Student Nurses board, and random others. Hopefully we'll have a tiny spot of our own soon.
It is just sad that the stuff to resident ratio is 1:10. How can resident gets good care if the LTC is so understaffed?
Anyway, I am going to work only 20 hrs per week so I am not going to get benefit for sure. I guess it is okay b/c I will apply for our state health care assistance.
Thanks for your information.