In an LTCF? Here's the basic rundown of my day as a CNA in a LTCF.
6:30-8:00 - Arrive, dress, check & change, and get-ups for every resident. Make sure they are groomed properly, have their dentures in or glasses on if needed, teeth brushed, and sat at the breakfast table. We are really lucky if we are on time everyday, because between close to thirty residents (eight of whom are Hoyers, and four of whom are confused), it's a LOT of work, sometimes I show up closer to 6:00 just to make it to breakfast on time! After each resident is up, we also make all the beds (which adds about ten minutes total onto the breakfast prep time, it sucks!).
8:00-9:00 - Feed residents. At our facility, we currently have close to twenty assisted feeders. Some of whom are confused, and two are MR, so they need COMPLETE one-on-one feeding assistance. We also have a bed-bound resident who one of the aides needs to feed, and she is quite difficult to feed. Breakfast is busy, but we have to get food and liquids down everyone (it's obviously important) so it can be a struggle sometimes.
9:00-9:45 - Check and change, strip, and lay down every resident. I was taught to leave no clothes/briefs on below the waist for any resident (unless independent, obviously) but I've heard other facilities don't do this for dignity reasons -- which I can see. But it's just to help eliminate skin breakdown.
9:45-10:30 - Since everyone (except those who don't lie down, on my wing only a few) is in bed, we are answering a lot of call lights, toileting residents, getting showers done if the bath aide isn't working (which is usually seven or eight showers, ten to fifteen minutes each). And, again, you can see where time is a restraint there. I usually use this time to get some of my charting done, too. Charting for a CNA at my LTCF includes BM charting for every resident, restraint record logs, and behavioral and assistance charting for a few residents. We also take our fifteen minute paid breaks at this time.
10:30-11:30 - At 10:30, while still answering call lights and toileting residents, we start checking and changing the residents, and getting them prepped for lunch. I usually let me aide partner go on break at 11:00, and I continue to answer lights, toilet residents, and get them prepped. I also get up a couple of Ax1 residents, or all depending on my partner, before I take my lunch break.
11:30-12:00 - When I get back from my lunch we finish getting our people up, which goes by SO much faster when they're all prepped! We get them up, groomed, and out to the table. We're usually RIGHT on time or a few minutes late for lunch at 12:30.
12:30-13:30 - Everyone eats lunch. This is usually the better of the two meals. Everyone likes a meal at noon, I mean, really -- I wouldn't want a complete meal at breakfast (juice, water, milk, coffee, eggs, bacon, toast -- geez!) Not that I don't understand WHY they get the big meals, but still, that's a lot for someone to force down your throat.
13:30-14:00 - Once again, everyone is laid down, checked and changed.
14:00-14:30 - The day gets easy after this, I chart, take down trash and laundry barrels, ask my independent residents if they've had BMs during the day (do this do this do this! Don't let residents who don't need suppositories get them, not fair, too many aides are too lazy to do this). I also might visit with some residents, or if I have time, do things like paint their nails or massage their arms and hands (esp. if I'm on our Alzheimer's unit, there's more time for things like this). I report anything to the nurse I've noticed during the day (unless it had to reported immediately) and give her my outputs for any residents with catheters.
I really, really love my job. Even if I have to get up at the a$$ crack of dawn, it's still exciting to go to everyday. The only bad thing is the time schedule is so delicate, unless third shift does a lot of prepping residents for breakfast (I usually get everyone dressed and prepped when I work third), then you can easily fall apart. If there is a fall, it is pretty much guaranteed you will be late for the meal. And when you're late, the administrator or DON and ADON will complain and you will hear about it -- but it's their job, so I don't fuss about it. But I do love being a CNA, and when I get my LPN and eventually my RN, I will be sad and miss it, you have so much contact with the residents.
Just remember to stick to procedure, your coworkers will not use gait belts because it takes too much time, but just do it anyway. You don't want to get fired. Don't do Hoyers alone. Don't do Ax2s alone. Read the care plans
and know them well, know your residents well so you can personalize their care, ask their family about them, etc. We had a woman on our Alzheimer's unit who could never explain to us why she was so uncomfortable and so upset -- until her granddaughter randomly told me she was NEVER barefoot or plainly dressed at home, and when I implemented that into her care, she's been happy ever since. Family will be a great resource.
Also, remember to choose a shift you will be happy with, you have to happy in healthcare or else you won't be the best giver of healthcare (and so on, yadda yadda, but it's so true).
Whew, long post!