Quote from Kac718
Looking for feedback on this:
I am a nurse at a LTC facility. We have anywhere between 30-35 patients on the hall. Two nurses. We have 2 CNAs typically for the hall. There are a lot of total care residents that require 2 CNAs. When we only have 2 CNAs on the hall, the nurses are constantly having to do the CNAs job of helping with transfers, ADLs, recording intake/output, BMs, making/changing beds, getting residents up and toileted before meals, assisting with showers, answering call lights, serving meals, feeding residents that cannot feed themselves, etc. Not that us nurses mind helping, but we are struggling to accomplish our own medication passes and documentation. We are lucky if we have a CNA that is able to come to work on time. A lot of days, our CNAs are an hour or more late, arriving when breakfast is being served, meaning that the nurses are then responsible to get all of the residents up out of bed prior to breakfast, serve breakfast, and attempt to get all of our vital signs, assessments, and morning medication pass done. Then, following breakfast the same CNAs that were late have the nerve to ask us if they can go outside for a 15-20min break. The nurses are never able to get breaks according to them apparently. I am wondering, Is this like this at all facilities? I am not trying to complain about giving care to residents but when the nurses are unable to do their job and are worried about missing changes of condition or administering the wrong medications due to being in a hurry to complete tasks, I feel like it is becoming a problem. We are unable to delegate to the CNAs because they are already putting us behind and do not do it when asked. Management has been notified and are aware but are choosing not to do anything about it, constantly making excuses for their behavior.
There's a large gap between helping and "doing for" that often gets overlooked in situations like this. You're not helping, you're doing the work for them. Not the same thing.
They're "helping" you. Not the other way around.
And if your facility looks at it as enough, move on. Trust me, they won't change their approach.
Me, I've been in this situation before on out of control M/S units. It sometimes helps to suggest a change in staffing....such as going with more nurses (hence, less med pass and documentation per nurse) and less nurse aids.
In the mean time, stop "doing the work" for them and get into more of a "I'll help as soon as my duties are caught up" approach. Yes, quality of care will suffer and yes, complaints will go up up up...........
Usually that's the only thing that triggers admin. to look at the problem. Just be warned, usually their solution to the problem is to say you should be doing more, not to fix the staffing issue.