Ok, so as I posted before I am taking CNA classes for the NS. Today was my 2nd day of clinicals, and I observed some practices that other "real" CNA do, and I am not sure they are doing the right thing. Just a couple examples: In charts they are charting for July 27, 28, 29, while it's only the 26th. They charted that resident K. had 50% food intake and 300 ml. fluid during the day shift on the 29th!!!!!! 2 days FROM now. They also charted that resident V. had 1 BM, was anxious and restless, and they changed him 2X (briefs) and walked him outside for 10 minutes. Again, this was under July 29th. When asked, they told me that it's called "mirror charting" when they chart ahead based on the "usual behavior and numbers" for this particular resident. So, if I usually have 1 bm, and eat 50% of my lunch, they will chart that for the whole week on Monday!!!! They also did the same thing with vitals: pulse, BP, etc.
Am I just jumping to the wrong conclusions, or should I talk to the nurse?
well, left a note at the don's office. hopefully something will be done. we are moving to another facility for the next clinicals. this one had some bad stuff going on: found a resident who was sitting like a chipmunk, with food from last night supper in his mouth, fermented and gross, he was also wet and had a bm, no one came to change him. he was laying in his bed this am, no glasses, which he has to wear, no changed briefs, no glass of water, nothing!!! and the call light would go like crazy, and cna's here would just go, "oh, that's joe, he is just moody today" and keep chatting. one lift for 34 rooms! so a resident needs to wait for an hour to be lifted and go to wherever he needs to go. i was turning a resident and repositioning her, and trying not to hutrt her, and the experienced cna was like "she will be ok, she's not gonna break" and just grabbing the woman by her hips, and being very rough. i know not all cna's are like that, but the majority here were not professional at all.
well, left a note at the don's office. hopefully something will be done. we are moving to another facility for the next clinicals. this one had some bad stuff going on: found a resident who was sitting like a chipmunk, with food from last night supper in his mouth, fermented and gross, he was also wet and had a bm, no one came to change him. he was laying in his bed this am, no glasses, which he has to wear, no changed briefs, no glass of water, nothing!!! and the call light would go like crazy, and cna's here would just go, "oh, that's joe, he is just moody today" and keep chatting. one lift for 34 rooms! so a resident needs to wait for an hour to be lifted and go to wherever he needs to go. i was turning a resident and repositioning her, and trying not to hutrt her, and the experienced cna was like "she will be ok, she's not gonna break" and just grabbing the woman by her hips, and being very rough. i know not all cna's are like that, but the majority here were not professional at all.
i was wondering, were you at a long term care place? it is common knowledget that experienced cnas in long term care facilties take "short cuts." it might be with hygeine but with a heavy patient load, sometimes short cuts have to take place..
Specializes in ICU;CCU;Telemetry;L&D;Hospice;ER/Trauma;.
what is the purpose of charting in the first place????
TO DOCUMENT THE ACTUAL BEHAVIOUR, BODY FUNCTION, ETC. OF THE PATIENT....
These CNA's should be fired. Charting three days in advance is falsifying records.....which any malpractice attorney will tell you is a lawyer's dream! The residence owner, and the DON could also be held liable because they receive medicare funding for the care of these people....and anytime the federal government sniffs out fraudulant record keeping, the nursing home could lose their license....these CNA's are a liablility....they should not be allowed to continue doing what they are doing.
So you are seeing this as a student? If so, tell your instructor. This is so wrong...
If you're there as an employee, you best get out of there before you end up caught up in the **** that IS going to hit the fan. It's only a matter of time.
My CNA clinicals were really bad. None of the staff CNA's wanted to show us anything, the RN's wouldnt listen to us and you can imagine what went on with the patient care aspect of it. Every single person in my class said something to the instructor about it, unfortunately it was a class sponsored by the same nursing home so there wasnt anything she could do about it other then have repeated talks with them which obviously didnt work.
well, left a note at the don's office. hopefully something will be done. we are moving to another facility for the next clinicals. this one had some bad stuff going on: found a resident who was sitting like a chipmunk, with food from last night supper in his mouth, fermented and gross, he was also wet and had a bm, no one came to change him. he was laying in his bed this am, no glasses, which he has to wear, no changed briefs, no glass of water, nothing!!! and the call light would go like crazy, and cna's here would just go, "oh, that's joe, he is just moody today" and keep chatting. one lift for 34 rooms! so a resident needs to wait for an hour to be lifted and go to wherever he needs to go. i was turning a resident and repositioning her, and trying not to hutrt her, and the experienced cna was like "she will be ok, she's not gonna break" and just grabbing the woman by her hips, and being very rough. i know not all cna's are like that, but the majority here were not professional at all.
this place has more serious issues than cnas charting by esp. there are some serious neglect issues going on. what about what you didn't see. a resident can choke to death on the food that is pocketed in their mouth. and laying in urine and stool can lead to skin breakdown and pressure sores.
there is another thread here called "yikes--another bad observation at a long term care facility!" that talks about how a resident was neglected so long there were maggots in the pressure sore on his back, and the agency nurse that saw this thought she could see the residents lung! she turned the faclility in to the state. https://allnurses.com/forums/f22/yikes-another-bad-observation-ltc-facility-24155.html
the place you had the clinical at really needs to be reported to the state, both the charting and the neglect.
Specializes in Community Health, Med-Surg, Home Health.
what is the purpose of charting in the first place????
TO DOCUMENT THE ACTUAL BEHAVIOUR, BODY FUNCTION, ETC. OF THE PATIENT....
These CNA's should be fired. Charting three days in advance is falsifying records.....which any malpractice attorney will tell you is a lawyer's dream! The residence owner, and the DON could also be held liable because they receive medicare funding for the care of these people....and anytime the federal government sniffs out fraudulant record keeping, the nursing home could lose their license....these CNA's are a liablility....they should not be allowed to continue doing what they are doing.
Unfortunately, most of the time, when this is reported, nothing is done about it. I have seen both, aides and nurses get away with things like this for years. Yes, I know if there was an audit, it would be serious business, but, still, it continues. I would like to see them fired, but, in most cases, it is a slap on the wrist, if even that much.
When asked, they told me that it's called "mirror charting" when they chart ahead based on the "usual behavior and numbers" for this particular resident. So, if I usually have 1 bm, and eat 50% of my lunch, they will chart that for the whole week on Monday!!!! They also did the same thing with vitals: pulse, BP, etc. 
leslie :-D
11,191 Posts
i have no idea if any of the assts are charting ahead of time.
but if anyone is, i definitely want to know.
i would nip this in the bud soooo fast.
leslie