Getting residents up for the day

The LTC facility I worked at started getting the residents up on the third shift and first shift finished up. It seems like they started getting residents up around 6am so they would be ready for breakfast.

The LTC facility I worked at started getting the residents up on the third shift and first shift finished up. It seems like they started getting residents up around 6am so they would be ready for breakfast.

We were doing a PT at a wentworth assted living here in SLC Utah and the aide confided in me they had to bath 5 and get 5 ready They started at 4.30 which is against the law.It's state no one before 6 unless the Pt request it.I informed her of this .

Does anyone know where I can find out if it is illegal to get residents up before 6am in Rhode Island? I can understand washing and dressing a person that wakes up early and agrees to it, but I have a real problem with waking bedridden patients out of a deep sleep to bath them at 5 am! Our third shift are required to get people dressed and I don't agree with it.

The place I work PRN, the night shift is required to get 5 up if there are 2 aides for the night shift, and 8 up with there are 3 aides on night shift. It really stinks, cause these poor people are so tired. And you are right these are people who are not alert enough to say "I don't want to get up at 4:30am."

I also have an issue with extremely lazy day stay. They have only four completes each, and 2-3 assist. They never have more than 7 patients each, but yet they keep complaining that third shift should get more people up!

A combination of nightshift and dayshift got the residents up. The residents that require 2 peson lifting were gotten up by the nightshift people, while the dayshift ones could work independently to get the one person assist residents up.

When we had survey, they investigated a complaint that we were "dragging residents" out of bed at 2-3 am for showers. This was unfounded. We have a shower list for 11-7, but there are only 3-4 people on it who have requested early showers. They usually start about 5:30- 6:00 if the folks are awake and ready.

I think this is a tension at many facilities. At present, our night shift gets up a few people who are already early risers. One of the things I am looking at implementing is a staggered breakfast time of 7-10 in the morning. That way our residents could actually wake up on their own and eat breakfast when THEY want to. :)

I think this is a tension at many facilities. At present, our night shift gets up a few people who are already early risers. One of the things I am looking at implementing is a staggered breakfast time of 7-10 in the morning. That way our residents could actually wake up on their own and eat breakfast when THEY want to. :)

I think this is a great idea but the state regulations for us won't allow but 14 hours between dinner and breakfast, so that puts our breakfast time at 7-8 am because dinner is 5-6pm. It is hard for the day staff to come in and immediately be faced with breakfast. My company is sooooo unbending when it comes to rules...I thought the residents were first.

There are 2 aides on 11-7 who each have to get up 6 people. They start at 5:00. Most of the time they get them washed and changed and leave them in bed until they are done with the other 5, and then will go back around and get them up. We have 5 aides on days. 2 work from 5:30-2:00, 1 works from 6:00-2:30, and the other 2 come in from 6:45-3:15. The other shifts are normal times (2:45-11:15 and 11:15-7:15 but for the most part, 3rd shift doesn't do anything after their 12 are up regardless of the time). There are 40 residents on our units and for the most part, are all up by 7:30. Breakfast comes at 8. There is one aide that comes in from 8-12 (11-3 on some rare occasions) and does the 5 baths, all of the vitals, and helps feed. It works great!:)

The place I work PRN, the night shift is required to get 5 up if there are 2 aides for the night shift, and 8 up with there are 3 aides on night shift. It really stinks, cause these poor people are so tired. And you are right these are people who are not alert enough to say "I don't want to get up at 4:30am."

Originally Posted by webblarsk

The LTC facility I worked at started getting the residents up on the third shift and first shift finished up. It seems like they started getting residents up around 6am so they would be ready for breakfast.

[/quote = nahjah ]There are 2 aides on 11-7 who each have to get up 6 people. They start at 5:00. Most of the time they get them washed and changed and leave them in bed until they are done with the other 5, and then will go back around and get them up. We have 5 aides on days. 2 work from 5:30-2:00, 1 works from 6:00-2:30, and the other 2 come in from 6:45-3:15. The other shifts are normal times (2:45-11:15 and 11:15-7:15 but for the most part, 3rd shift doesn't do anything after their 12 are up regardless of the time). There are 40 residents on our units and for the most part, are all up by 7:30. Breakfast comes at 8. There is one aide that comes in from 8-12 (11-3 on some rare occasions) and does the 5 baths, all of the vitals, and helps feed. It works great! ."

It still comes down to this if the Pts not awake ,its against the law .If that Pt doesn't want to get up at that time.Your interupting sleep.

Just look arround your hospitial they have to have it in plane view for your Pts it called the Ombudsman it has a name and number and you can report them without the hospitial finding out. I know if I was in a nursing home I would comlain to the Ombudsman . So what we did is when we worked 11/7 is started right at 6 and got up 3 for each aide .No baths on our shift we would also lay each and every Pt's clothes out shoes and scocks out ,So The ones who could dress themselve could .pass waters lay out clean wash cloths and towels on each bed. plus do last rounds .So day shift and our shift kept withen the law.But still helped each other.

They were trying to change policy at my old hospitial and make us all wear the same colored scrubs one time ,which we would have to pay for out of pocket. Several of us called and the Ombudsman said If you want them to all wear the same, hospitial has to pay the expensive for the scrubs . we also called the labor commision on this.They said the same.

Ombudsman can be your best friend or your worst night mare. once they get a complaint the Ombudsman come's they time the staff and how long it takes to answer a bell. How long to get meds .speak to all the Pt's to see if they have complaints. Check the food temp proper diets etc.

I think this is a great idea but the state regulations for us won't allow but 14 hours between dinner and breakfast, so that puts our breakfast time at 7-8 am because dinner is 5-6pm. It is hard for the day staff to come in and immediately be faced with breakfast. My company is sooooo unbending when it comes to rules...I thought the residents were first.

Actually, we will be dialoguing with the department of health before initiating this change.