I am a new CNA. I work at an LTC facility. We have 3 shifts, 7-3:30, 3-11:30 and 11-7:30. We get 2 15 min breaks and a 30 min lunch break. The 7-3:30 is my usual shift and it is very very fast paced. I have 10-11 patients that I have to get up, make sure they get their breakfast and then have them bathed, dressed and their room cleaned before lunch time. While their eating breakfast, I have to stock the linen cart with enough towels, washcloths, hospital gowns, briefs(diapers), wipes and bed linens. I then put a towel and couple washcloths at the end of each pts bed. I try to see who wear pull ups and who wears briefs so that I can have these ready also. After they all eat, I have to pick up their breakfast trays and put them on the cart. Then I have to get the sheet that shows who is having a shower that day, who is going to physical therapy and who has morning doc appt. These are the patients that I prepare first. Next, I have to see who can sit up and bathe their upper body. Hopefully they and their roommate can do this. If so, I run the water to get it hot, we pick out the clothes they want to wear, pull the curtain in the room shut and get the pts undressed. The first thing I do is put on their brief or pull up and their pants and socks and shoes. I pull up the brief to their ankles while they sit down and wash their face and upper body. I alternate between the two roommates if both can do their upper body. If not, I pick two people who can do their upper bodies and alternate care on them. Once their upper body is done,I put on their shirt or gown. Then I get on my gloves, wash their front and their bottom, put on protective cream on their bottom if applicable and pull up their clothes. I then have an emesis basin and a cup of water and their toothbrush and toothpaste ready so they can brush their teeth. While they're brushing their teeth, I make their bed, take out their trash and their dirty linens. Then Ihelp pick out clothes, bathe and clean the room for the people who need total care. Once they're all done, It's time for lunch but usually I'm so slow that I never get a morning break nor do I hardly ever go to lunch. Once everyone is bathed and dressed, its usually lunch time so before the lunch trays can be passed, I have to clear out the garbage can and dirty linen carts out of the hallway. I then bring the lunch tray cart to the hall and pass lunches. I also feed thoses who cannot feed themselves. Then clear lunch trays and change briefs of those who are not continent. Next, I empty the foley bags of those who have cathethers and record their output. I also answer call lights. Sometimes, you can spend a while in a patients room depending on what the issues are. Later, if I have time, I chart all the daily activity for the patient and continue answering call lights and changing patients. After lunch alot of the patients want to be put back in bed so I have to put them in bed also. I don't know what the responsibilites are in a hospital but I know alot of CNA's get trained to change wound dressings. We don't do that where I work.