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Discussion

CNA's not completing assignment. Vent.

I just worked an overnight shift and it was my first night being the only LPN on the unit. When it comes to CNA's I trust them to complete their assignment without any nagging. Well they kinda changed that.

They left at 7am and the day CNA's came to us during report and said that only a few residents were totally dressed. They are assigned a couple residents for each assignment to get up in the morning. In my definition- get up means out of bed to chair, changed, cleaned, dressed, ready for the day and brought in for breakfast. 4 residents per CNA.

I felt like a total idiot because they didn't do their job. I wrote their names and assignment down for the day supervisor. I am ******. I have a lot of work to do during the night. If I don't do it. I get written up. I really hope I don't get written up for what they didn't do. I know I am responsible for them to make sure they did their assignment but their assignments are their responsibility.

Did I do the right thing in reporting this to the supervisor? Should I have made my expectations of them clear when I made the assignments of the night?

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    Do the residents want to get up that early? Is it a reasonable assignment to get all the residents up that early in the morning?

    What time do they have to start waking up residents to complete this expectation?

    I certainly won't condone anyone not doing their jobs, however I think that maybe this needs review, especially with resident input.

    The first nursing home I worked at (many years ago) I worked the night shift and we were expected to have all our residents dressed, washed up and ready for breakfast before the day staff arrived. The day shift staff were not very easy to get along with and would tattle to management if any resident was still in bed, they didn't want to hear any excuses as to why these residents were still sleeping.

    Years later when I started at another nursing home, I was pleasantly surprised that they were letting their residents sleep in until they wanted to get up.

    The day staff worked in teams and got everyone up throughout the morning.

    Just my 2cents. Hope things get better for you.

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    My initial response to your post is: Did the on-coming shift do touch walk-through? I always encourage my CNA's to do touch walk-through instead of just receiving a verbal report. If they had actually gone into the rooms, they could have asked the previous shift to finish their assignment without interrupting the nurses' report. If it is a repeated situation, then they could call it to the manager's attention.

    I feel that not doing touch walk-through is like saying "I trust you. Whatever you left, I will take care of."

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