Bathing in LTC

  1. 1
    Okay, I need more help or suggestions. My facility has serious issues with the number of resident's who receive daily baths. There are two sides to my facility, one side gives atleast 14 baths per shift. A total of 28 baths per day just on one side. I have a bath aide but the problem is when we are without the bath aide residents don't get their bath. The CNA's have grown accustom to not giving baths anymore so when they are responsible for the bath it usually doesn't get done. Instead of have four CNA's on the floor with a bath aide, I am thinking about having five CNA's on the floor and having everyone responsible for their own baths. The concern I have with this is how to manage that baths are getting done. Any suggestions?
    virgo,student nurse likes this.
  2. 12 Comments so far...

  3. 1
    We had a bath team who did certain residents. Residents not bathed by the team were the responsibility of their own CNA's. To make certain that baths get done, you have to check up on a regular basis and use disciplinary actions if a certain CNA is shirking.
    virgo,student nurse likes this.
  4. 2
    Having been a CNA, honestly a bath aid or team is necessary. CNAs manage a lot of time consuming tasks with multiple patients, to expect them to do all of the normal ripping and running and then add on daily baths for all of their patients is asking too much. Even if you do add on an additional CNA, you are going to find the baths not getting done. I would suggest actual baths every other day with a bath aide, and have the CNAs give bed baths with the pre-moistened bath wipes on the off days.
    interceptinglight and paddler like this.
  5. 0
    ohhh i love the idea of a CNA that would specifically do showers. i know know know that our showers don't get done. they do bed baths. but i might see 2-3 CNAs take a patient to the shower in a shower chair/stretcher a week. granted i'm not on the floor 24/7. Our census is already low and the CNA's complain constantly about how they have too much work. so taking a CNA away to specifically do showers would really put them in a tizzy i think. i've learned that no matter what you do they always want one more! always!
  6. 1
    What hours are your bath aides working? You need to offer the bath/shower in the evenings also. Per regs, the resident should be able to choose if they want it in the morning or evening.
    Not_A_Hat_Person likes this.
  7. 0
    Our nurse aides are responsible for their showers. The showers are split between 2 shifts and the residents can choose their preferred time. The nurse aides must report to the nurse any deviation from the shower scedule such as refusal by the resident or held due to family outing ect. The nurse is responsible to confirm that information by visiting the resident and offering the shower again or scheduling an alternate time. That being said, it is also the residents right to refuse. Documetation and care planning are key.
  8. 0
    This is a big problem in my facility. Its a smaller place with 50 beds. 5-6 cnas for 7-3 and 4 or 5 on 3-11. Baths/ showers rarely get done even when we are at the high end of staffing. The only time they are getting done is when the resident/ family asks for it. It is killing me. The excuses are always plenty and what kills me is that I let them get away with it for the most part..if I'm running in circles the last thing I think about is who is getting a shower tonite. I know that is my fault but I rarely get backed up when I counsel or write up cnas.
  9. 1
    I have 140 bed facility, three separate units. Each resident gets a shower twice a week, and they are divided between 7-3 and 3-11 with no showers on Sundays. If a resident prefers a different shower time, we switch them with another bed's shower days. The CNAs have to turn in " skin sheets" for each shower. In the mornings, we review the sheets to ensure everyone got their shower. The CNAs are not allowed to write refused on the sheets without the nurse speaking to the resident first. If no shower, then discipline.
    noc4senuf likes this.
  10. 1
    I must be blessed. My residents always get their baths or showers. The CNAs are the best I've ever worked with. The residents get showers at least twice a week on the shift of their choice. If they refuse, the nurse is notified and the shower is rescheduled.I've been in the business for more than 25 years and have never heard of the concept of a bath team or a CNA who just gives baths.
    noc4senuf likes this.
  11. 0
    We have sixty skilled residents. They get a shower twice a week unless requested otherwise. We have 5-6 nursing assistants on days AND a two bath aides. Of course our most frequent complaint "short staffing".

    The showers are given as scheduled. It is not an option. If one of the bath attendants is out sick the nursing assistants split the baths for that bath aide.

    We have 40 assisted living beds. Three nursing assistants on first and second shift. The showers are split between the two shifts, no bath team.


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