Made to Falsify Documentation :(
Ok...so I'm just learning the ropes as a new CNA on board and charting is one of the tasks. We are supposed to check and change (if needed) everyone on our team (20 people) every 2 hours for incontinence as the single CNA. Our floor is heavy and there's no possible way. Yet, at the end of the shift we are expected to write the times in perfect 2 hour increments that we checked each person, and our initials. I have a problem with this. Problem #1 The resident isn't getting the care (s)he deserves obviously! Problem #2 There's no way I can do this all by myself and the nurses say there's nothing they can do and pass the buck. Problem #3 Those are my initials on there and that means that my integrity is on the line. I take that seriously.
The same of the above goes for ambulation which rarely gets done for those residents who cannot walk to meals or the toilet. Lots of other stuff gets fudged too. I doubt it's the facility that I am working at because it's really one of the nicest ones around. All of the CNAs do this and they care but they say there is no possible way that things can be done properly as they would like to.
Does everyone do this? Is it commonplace to lie on charts for the files just in case the state comes in to check?
It is not your fault but could become your problem
the fact that you cannot get your work done is no excuse for falsifying documentation. you can initial the boxes, put a circle around it and in the summary write, these times are only an apporximation, i have no way of knowing exactly how much time i spent on each one of these tasks. never put yourself in a situation of not being able to perform your job safely. if something happens the fact that you accepted the assignment will make you liable if any of the residents get hurt. try doing private duty or working in a setting where the residents need less care like in psychiatric or with developmentally disabled folks. if enough of us make a mass exodus out of ltc, turn written reports into the department of health and to our congressmen about these problems, then they will be forced to improve the situation. as long as we stay we are telling them its ok. you can always find a new job, but if you loose your cna you will not get another one. your preception of ltc is very accurate.:angryfire