I currently have worked for about 3 weeks now at a long term rehab center. I am really starting to enjoy it, realizing how much it is changing my life. All my worries of people falling and barfing from cleaning people, etc. etc. are pretty much gone. I've pretty much gotten used to it. But I am still taking longer than everyone else. Their all sitting down by 9 (were done feeding around 7 15) and I finish putting me last people to bed sometimes at 10 or even 10 30. Its tuff for me to get everyone up in bed, clean them up, and then do all the charts. But I'm getting a lot better at it. Until today, a night nurse came up to me and said there was a lot of complaints about me. I was leaving diapers in the garbage, things on the floor, and she didn't know what time I do my rounds, but that I need to make sure I check everyone. I thought I was doing a good job, I know I've forgotten diapers and maybe some dirty pants on the floor but I know I've gotten better at not doing that. The round thing is haunting me because by the time I get everyone to bed, I only have 30 minutes to check 13 patients and make sure their clean, and in reality, I can only change 3-6 in that amount of time. Depending on how bad they are. Today before I left I got all the garbage out of the rooms and double checked the floors, and I tried my best to get everyone checked before I left. Is there any advice or tips that I can do to get faster at getting my patients into bed?? This is where I am struggling, and I want to make sure my people aren't sitting in their own filth. Is it just one of those things you learn the longer you work there? Thanks for your time guys.
You change them after you put them in bed? I was told speed up by putting everyone in bed and then change them. Fuzzy I wish I could be as organised as you are.
I always change them as I go. If someone is wet there's no sense in leaving them in it when I'm right there in the room. I don't always do the full HS care on everyone as soon as I put them to bed because if I have 10 other residents sitting up in their chairs after supper they are probably wet and I at least want to get a bunch of people in bed and take the wet briefs off... THEN I can go back and do proper HS care on some of them. Otherwise if it takes me 10 minutes to get each person into bed and do their HS care then the ones at the end of my list have to wait that much longer just to get out of the wet brief. I don't know if that made a whole lot of sense from the way I described it, but once you get to know your residents you will find your own way that makes sense.
I put them to bed because if I have 10 other residents sitting up in their chairs after supper they are probably wet and I at least want to get a bunch of people in bed and take the wet briefs off... THEN I can go back and do proper HS care on some of them.
Oh!! I put the gown on before I put them in bed and then change them. Peri care I do as I change them. If I have time I wash face and do oral care.
I take them into the bathroom, put them on toilet, change into gown and new brief while they do their business, then brush their teeth and face (if unable to do it independently), stand them up, do a quick peri care, put them in their chair, wheel them over to the bed, and put them in it. I save more thorough peri care for rounds because that area is more "accessible" when they are laying down. If they can brush teeth and face independently, I let them do that on their own at the sink and I will typically leave for a few minutes while they do that and then come back and finish putting them in bed when they are done.
Unless they are extraordinarily heavy and/or a Hoyer, I put everyone on the toilet before bed, continent or not. It makes them more comfortable to sleep and will (hopefully) result in a lighter brief change later on.
Its not that hard to change someone, as long as they don't wet through their diaper, you just pull their underwear down, whip them and make sure their clean...
LOL...sorry, but...I really hope you meant to say "wipe them"
Ya know some of the seasoned aides are always gonna complain about newbies rather than try to help. It makes them feel important.
Before supper go through be sure all supplies are in the rooms, beds turned down and padded, and do your shower or swers if u can.
After dinner get with a partner and get all the doubles in bed first off, quickly johhny them and change any heavy wetters. After they are all in, go back and get the people finished or the singles to bed in order of importance. Keep a written list and until its routine add a note to self to check for dirty laundry and check the trash. Pretty soon it'll be routine, rt now your nervous and overwhelmed. It gets better.:redbeathe
Pretty soon it'll be routine, rt now your nervous and overwhelmed. It gets better.
I hope so. I started in the rehab area and now in the long term care for a few weeks. Sometimes get so tired the pain causes me to tear up. I feel I am in hell.
Tuesday from 3:30 to 6:00 got 1 down and up 2xs, changed 2 whom have diarrhoea, put 2 to bed and got 1 up. I was exhausted. Seasoned CNA, whom is younger than my daughter, smirked at me and said, "look at her" to others.
Pain goes away when I rest. Just when I take care of several clients with no rest I get short of breath.
At the end of the night relief person told me there were some clients, whom the smirker took care, that were soaked. She had time to sit and watch me for she wasn't doing her job properly.
fuzzywuzzy, CNA
1,816 Posts
I always change them as I go. If someone is wet there's no sense in leaving them in it when I'm right there in the room. I don't always do the full HS care on everyone as soon as I put them to bed because if I have 10 other residents sitting up in their chairs after supper they are probably wet and I at least want to get a bunch of people in bed and take the wet briefs off... THEN I can go back and do proper HS care on some of them. Otherwise if it takes me 10 minutes to get each person into bed and do their HS care then the ones at the end of my list have to wait that much longer just to get out of the wet brief. I don't know if that made a whole lot of sense from the way I described it, but once you get to know your residents you will find your own way that makes sense.