Hi. I'm thinking about picking up extra shifts close to my home. About 20 years ago I worked as a CNA in a few nursing homes. I liked everything but changing incontinent pt's. I know this has to be done, but do the RN's have to do this, or is it usually the CNA's?
Also, please tell me what the RN does...is it treatments and meds? what kind of treatments?
I would appreciate to hear what a typical shift is like for an RN.
I worked at a nursing home as a RN Unit Manager for three months. It was three of the most tiring months. I worked monday through friday dayshift most of the time working from 8am till like 5pm or 6pm, depending on how crazy the day was. Typical day for me was go in get things ready for morning meeting, make sure the floor was running well, go to morning meeting which would take up to 2 hours due to people talking about all aspects of the facility and reviewing the 24 hour report sheet from the day before, then after that meeting I would get a follow-up list which would have anywhere from 1 to 20 tasks to follow up on such as how is this person doing, are the aides doing what they are supposed to be doing, was this family member contacted, was the doctor called, what orders were received and why. All of this had to be done by the next day's morning meeting, also there would be different meetings through out the week such as QA meetings, meetings to review skin and weights, meetings to review psychotropic drugs and meetings to review restraints. Plus, I was repsonsible for being my unit's supervisor during the day, making sure things were being faxed, doing IV push meds, taking care of central lines, doing IV's if the LPN wasn't IV certified, measuring resident's wounds, settling disputes between staff members, calling doctors on any new or emergent conditions, retrieving stock meds for the LPN's from the stock room if they ran out, talking to family members if needed, and doing nursing assessments and admission paperwork on new clients being admitted to my unit. By the time I left there at the end of the day, I was exhausted. Now, if you are just a regular RN supervisor I would say you would Supervise the LPN's and CNA's, doing IV push meds, calling MD's on new or emergent situations for the residents, maybe passing the occasional medication pass, and admitting new residents to the facility minus all the administrative duties that I mentioned that came with the Manager role. Good Luck with whatever you choose to do. Take Care.
Last edit by jpRN84 on Feb 18, '08
: Reason: Typo