On our 60 bed unit, we have:
3-4 RN's, +1-LPN, +4-5 CNA's on days
2 RN's, +1-2 LPN's, +3-4 CNA's on evenings
1 RN, (2 RN's one night a week), +1 LPN, +3-4 CNA's on midnights (one CNA is for 1:1 for fall precautions on each shift)
I'd say 3/4 are total care, 1/4 self care
I work midnights so after report myself and the RN make rounds on our residents. The CNA's also check their assigned res. to see if they are soiled. They are supposed to make rounds q30 minutes (to check if they're breathing) q2hrs to check for soiling and turning. Your back is of utmost importance! ALWAYS get help when turning if you cannot do it alone. If you cannot get the help, a sure way to turn a pt by yourself is pretty simple. Take the arm that is closest to you and drape it over the pt's chest. Then take the leg closest to you and bend it up so that the sole of the foot is on the mattress. Then simply push the pt over on his side by pushing the shoulder and the bent leg. It really doesn't take much effort and you could turn a +300 lb. pt alone. I've been doing it for 25 years and I still have my back...(watch tonight...I'll mess it up... **sigh**
CNA's are expected to do their work which is pt. care. For our shift (12-8) that entails a.m. care for approx. 20 residents which really begins at around 0430, washing and changing them, some have to be dressed and out of bed, others stay in bed. There are vital signs to be taken and charted in the computer, weights that have to be taken by the 10th of each month and charted in the computer, and then there are the breakfast trays...some need to be fed, others just need assistance. If anyone is on restraints, the CNA's have to fill out the restraint log sheets q 2hrs and hand them in at the end of the shift with their SIGNED assignment sheets. Our CNA's also change the tube feeding bags and do the tube feedings. Out of 20 res. maybe 1-2 are tube feedings, 10-12 are total care and are incontinent, 3-4 need to be turned, 3-4 need to be fed, and 3-5 need to be dressed and placed in w/c, or geri chairs. Breakfast arrives on the unit at about 7am., some go to the dining room by themselves. Oh, and the incoming CNA checks the roster with the CNA that's going off duty.
Hope this gives you some sort of an idea of what you're in for. Good luck to you!