Flustered new CNA, in desperate need of tips on how to get everything done

Nursing Students CNA/MA

Published

Hello,

For the past three years I have wanted to become a CNA, but never had the opportunity to switch jobs. The time finally came and I was so excited! I studied my CNA skills nonstop, and passed my state test. I plan to start my LPN next September, and always felt that a good nurse is one who is willing and able to do it all. However, from day one, this job has challenged me. Let me start off with that the challenges have nothing to do with wiping butts and doing all the dirty work, but just on how to get it all done on time. The staff never really seemed to want to explain much in training. I find that people are constantly yelling at me and I feel like I am being pulled into four different directions. For example, after dinner almost every single resident wants my help getting ready for bed at the same time. I am polite and explain that I will be with them next, but some just freak out. Then in the middle of helping someone to the bathroom and getting their pajamas on, a nurse or another CNA will come find me to be like "Joan has to go to the bathroom". Knowing that the current resident I am working with takes at least 15 minutes to change into PJ's, put brief on, brush teeth, pull wheelchair out of bathroom and over to bed, and lift them up onto the bed, fix their sheets and such....and that's only if the resident doesn't start making me hunt stuff down in the room. I have one resident, who every night, has me searching for things (bag of candy, bottle of lotion, ect.) I feel as though a few of the nurses just expect me to do 15 minute jobs in 5 minutes, and don't realize how the residents are slow and confused. Tonight I had a resident who was supposedly having a reaction to some medication, and it was like he was on some LSD trip. He was hallucinating nonstop and thought people were breaking into a window, only he was referring to the hallway. He also kept trying to get up out of bed, even though he can't walk, and he would end up diagonal on his bed, so I would have to ask someone to help me straiten him and boost him back up. I fixed him twice, in between taking care of other residents. I was walking a resident to the shower room and noticed he had done it for the third time, and I called down to the nurse and explained how he might fall out of bed, and she told me to start the shower and leave the resident in the shower alone and go and fix the guy in bed all by myself. The lady in the shower was completely independent....but it's still not the point. she wanted me there to wash her back and help her dry off...and then I have to deal with that guy hanging out of bed....and all the nurse does is just give me a dead look. Is this job challenging for all new CNA's or is it just me?

My hardest days involved being new on the skilled unit. It was rough because I knew my company was depending on me to protect their reputation, and produce delighted "customers." Thus, I was running around fetching things for people and that wasted a lot of time. It wasn't a pride thing, but I was quickly overwhelmed by the sense of entitlement and disrespect of the staff by patients and their families.

There was one woman I cared for after she had hip surgery. "Can I have an iced tea?" I went to the other side of the building to bring her tea.

Five minutes later: "I need to pee." So I came back, struggled to get her out of bed and into the restroom, and back. She then requested another iced tea, which I brought her.

Five minutes later, this woman is on the light AGAIN. "Can I have the white pages? Not the yellow ones. The white ones." So I went on a massive hunt through the nursing station for the "white pages." I bring her the book. She thanks me and says she has to pee. I take her to the restroom.

This pattern repeated...ALL 8 hours of my shift. Between Princess Iced-Tea, the confused dementia patient who kept wanting to go to the parking lot, lots of irritating and impatient family members, my obnoxious coworker refusing to clean a corpse, the RN (rightfully) screaming at me because my vitals were very, very late...This is going to sound bad, but by the end of that shift I was hoping someone would just shoot me.

My hardest days were when I was new. It gets better.

Hello Ms. Vickie,

I recently started working as in the state of Ohio "STNA" or in other states as a "CNA". I have been there for a couple weeks now and have the same trouble like you did as well as with other things. I have been reading this to find some inspiration and tips on how to deal with effective time management and grumpy residents. Thank you for your question and advice

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