Ok, in my small town 70 some resident LTCwith all psych, geriatric, and hospice patients), which is understaffed, things get crazy.
Tonight while half of the staff was out to lunch, and the rest were occupied in residents rooms, I was asked to answer call lights. So I went into a room and a a/o resident was angry because his light bulb was blown out. I explained that it is night time and the lights need to be out anyways and maintance will fix it in the morning. He became angry with me and he doesnt speak, he just yells.
I stepped out of the room and another call light was going off, and it was one of my a/c residents upset with me that I "never gave her a shower" which I had done so only a half hour ago.
She was yelling, that man was yelling, and this was at 9 when all the residents are sapposed to be sleeping, so the ambulatory psych residents come wandering out of their rooms and put up a fight when I tried to get them to go back to bed. I went back to my yelling residents and explained that they need to keep it down which only made it worse, they yelled twice as loud making me more and more angry. I wanted to step outside to get a little peace of mind but as soon as I had that thought 2 residents on both ends of the building were trying to get out making alarms go off waking even more residents, and making the ones who were yelling yell even louder and making more residnets yell or get upset. I got the residents away from the doors and got the alarms shut off but I could not get the residents to stop yelling. I just couldnt take anymore and broke down and cried. I was almost wanting to go home for the rest of the shift!
How do yall keep your cool? I wanna know the tricks of the trade.
Oct 23, '02
Having been a CNA for over 28 years most in mental health and Geri mental health and rehab. I have learned to be very organized. I used to have 22 pts 5 baths 2 feeders and all the trays to pass and put to bed each night I finally made a deal with my Pts talking to them at the beginning of shift. Finding out right at the beginning who needs What or who needs to go to the bathroom took them all at that time if I could. Then ran from one to the other. Back and forth till they were all potted
Also found out who needs meds and made a note for the RN and left it on her cart. I would not except the hall at the beginning of shift if thing were a mess unless all rounds were made and every thing in proper order. I would also warn my PTs when I would be showering someone Like from 4 to 5 . I would be busy. So If they think they needed something to let me know before 4 or they would have to wait until I got out of the shower. Or I'd catch them in between showers. Then when they were down at dinner I would put out all the linen and wash cloth towel and gown on each bed and set up oral care stuff plus there lotion. A lot could do it for themselves if you set them up so it made it easy. Then from 8-9 pottied again and PM care gave short backrub to the complainers and the ones who wanted it they go right to sleep Then sat on my backside from 9 answering one or 2 lights doing last round at 10 20 potted the ones who were awake changed the ones who were incontinent.
That how I deal just make a list and Negotiate
Last edit by happthearts on Oct 23, '02