CNA/PCA Duties on Your Units

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Specializes in ICU, Med-Surg, Neuro, Education.

Hello all! First time poster to the main forums so let me know if this post should be in a different place!

I am a new nurse manager (just finished up first month) on a neuro/med-surg overflow unit. Coming in to this new role I am seeing there is a MAJOR deficit with our PCAs and their duties and it seems they haven't been held accountable in the past. I'm skeptical that baths are being done, rooms are always left a mess, supplies in the rooms are always low, patients' trays are often left in rooms for HOURS after meal times, and water jugs are never filled. Not to mention, I was doing some chart audits today (just for fun) and realized none of the CNAs chart anything except I's and O's.

So, my question is, how are CNAs held accountable for their duties on everyone's units? Do you keep a bath log? A daily CNA checklist? Our hospital has done away with in room rounding sheets in the last year or so, so I doubt I could use that.

I tried checking for similar questions first, and couldn't find any, so please point me in the right direction! Any opinions/ideas are welcomed.

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Specializes in OR, Nursing Professional Development.

Welcome to AN! You may also want to browse through the CNA/MA- Nursing/Medical Assistant and Patient Care Technician/Assistants forums. (They're kind of hiding out in the students section.)

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I work on telemetry unit we use a Nursing Assistant Accountablitiy sheet CNAs sign off on tasks that include filling o2 tanks, turns, baths, vitals, ice, linen carts and accuchecks are complete that is part of CNA report with oncoming shift. Hope this helps in some way!

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Specializes in ICU, Med-Surg, Neuro, Education.

Thanks for the input!!

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Specializes in Med Surg/PCU.

Ours are expected to chart everything they do: incontinence care, baths, ambulating patients, etc. Other than vital signs, which has it's own flow sheet, all of their charting can be found in one place, so it's "easy" for the nurses to check up on what they've done/not done. Each nurse is responsible for checking up on the aides for her patients.

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