You are totally correct that a patient should not be left in obvious stool or urine... I agree with you there. Your original post made it seem like you were upset bc she hadn't given the patient a full bath which is why I asked you to clarify.
I understand how you feel. And it is a good thing to be so compassionate about ur patients. I am sure you make a great CNA and one day nurse. Never forget to do little things for your patients bc that is awesome.
Just try and put your self in that nurses shoes and realize that she is responsible for way too many patients. She had meds to give, treatments to do, paperwork to fill out. Generally according to my understanding and limited experience in LTC, the CNA's take care of the assitant work with the patients and the nurses do their med passes and other activities that the nurse must perform, etc.
The CNAs are the ones who pass the trays and make sure that each resident gets them. Of course the nurse is ultimately responsible but she is focusing on the jobs she needs to get done. So the nurse not knowing the tray wasn't passed to one of her forty or however many residents, well.... she delegated that activity I am sure to someone else. Of course you need followup, but she prolly figured the assistants were capable in following through with that.
As far as the cleaning....while I don't excuse leaving someone like that...if it was a one time thing I would let it go as mentioned above...if you notice all the time she does this...mention it to your instructor. But i wonder, what was going on to make this nurse in such a rush? Did she have thirty patients left to give insulin to?
I have a tremendous respect for anyone who can do LTC nursing. Their staffing situations are far the worse.. and there are alot of stressors going on there.
I wish you tons of luck.... like I said before you seem to be doing a great job and will be great to all your patients.
By the way you are nto wrong for asking questions.... that is a very good thing to do...ask questions........I ask about 80 of them a day :chuckle
I just think there was probably some stuff going on to make that nurse in such a rush..who knows...she may be negligent.
Which would be awful and then...she definitely would deserve reporting. It just seems to me that usually there is a reason for why things appear the way they are. Every pt deserves good care and there is not an excuse for not getting good care but we are all human too...know what I mean?
Anyhow, if I came off before as being rude or acting as though u shouldnt ask questions.....I apologize... that was not my intent.... and I reread my post, I think I was a little short before. I'd just gotten off a the most awful night shift of my life (awful GI Bleed....huge mess....and was sitting there wishing I could have done more for him)
I wish you lots of luck in your career. And definitely encourage you to go for your RN if being a CNA appeals to you!!!!! Take care and be sure to always keep your caring heart.