HELP NEEDED ASAP, with a bath program that work and can be tracked.

After 200 views no answers very discouraging.

Thanks, new to the site. Really enjoying it, getting some great advice.

Ok, I'll give it a go. You could maybe create a monthly paper for each resident and put them alphabetically in a binder (with those handy alphabet tabs) and have staff sign off each bath day. That would save paper, and create easier access to see when someone last had a bath. At a glance you could easily see that Mrs. Smith didn't miss a shower all month.

We have eMar, so CNA's sign off there that showers were completed or not. We do "shower sheets" on Monday and Tuesday with complete skin checks. The CNA's give those to the nurses and it's the nurse's responsibility to follow up on any skin issues found. Those are then signed off by the nurse and turned in to the unit supervisor. I have no idea what happens to them from there. I have a feeling they go into the circular file.

Since there are no showers on Sundays, we do nail care then. There are nail care sheets listing all of the day shift showers for days to do, and one for evenings. The CNA's are responsible for completing the nail care and signing off. The nurse's then sign off that the CNA's did what they were supposed to do. Those completed sheets then go to the supervisor. Again, circular filed I'm sure. I don't know. Maybe she has a binder for them...

Anyway, oral care should be completed no matter what, and while the CNA's chart in eMAR that it was done, it's really up to the nurses to check and make sure. We have no paper tracking for that.

Don't know if that helps at all, thought I'd try though. Best of luck.

Ok thanks, the singular sheet per month is definitely, what I have been thinking about. Gonna put in some changes next week. Feeling pretty positive.

Do you have any idea as to why they aren't getting done?

How many patients does each CNA have on a given shift?

Really I think no one is checking and they are not being held accountable. No it not all residents or all CNAs. But I do find it is the more difficult or bed bound residents that are more likely to go without a decent and regular bath.

it can range from 8-12 on first and second, with maybe 15-18 third.

We do ONE bath per week(unless the resident requests otherwise) Between beauty shop appointment and am and pm care this is adequate......We do our weekly skin checks with the bath,nail care is part of the bath....It all gets done