Not a dumb question at all! I had no idea what it was until I starting working LTC too! (btw: ask as many questions to your preceptor as you can, regardless if you think its dumb! It's probably not as dumb as you think!!
) Anyways- you will most likely have a "treatment book" aka the TAR. Similar to the MAR (medication administration record). Both are basically a binder (again, this may be different if your facility is computerized), which has tabs for each patient. Within the seperated tabs, it will have a paper that looks like grid or graphing paper. It has 31 spaces across for the 31 days in a month. on the left side it will list either the medications (for MAR) or in your TAR it will list treatments. You sign off when you give that medication or treatment... Kind of confusing to explain until you see it, as I'm sure each facility is different. But let me give you a few examples of treatments that are likely:
Check pulse ox q shift
: you would sign your initals in the TAR and prob have a space to write what the pulse ox was
Change g tube dsg qd and prn if soiled:
you would initial in the TAR
Apply dimethicone cream to reddened left buttocks q shift and prn
: you would initial (i would usually check with my cna's for this one, as this cream is usually applied with brief changes and will be in the patients basin)
Cleanse stg II pressure ulcer with NS f/b solosite gel f/b clean dry dsg q shift and prn:
sign your initials in the TAR and also intital and date your dressing.
these are simply examples but were very common treatments in my facility.. Basically you just start at the beginning of the binder and read, gather all supplies and treat the patient, sign off in the binder, then turn the page and continue in that fashion. I hope that helps!!!