Journal-"jotting" your daily rounds?

Nursing Students CNA/MA

Published

Last night I had a "hall and a half' because we were one person under-staffed and no one else would come in. A resident fell and the family found her. I had been in the room 2-3 times and the resident would not be roused for dinner, so I ok'ed her to go to second seating. She seemed dry (her legs were contorted-closed if you know what I mean so appeared from the front to be dry. With 14 residents due at meds and first seating, I kept on movin-on as they say.

When asked when was the last time I was in her room, I guessed at within the hour. Tonight I am going to begin jotting down every 30 mins or so what rooms I have been in and a brief synopsis:

here's what I might write from 2pm to 4pm:

241- toileted 10 mins

232, 231, 222- toileted 45 mins (waiting for 2-assist transfers also)

222, 212, 214- sleeping

261- light plug 2 mins

212- full code brown 35 mins (bed chg)

With abbreviations this would not take any time at all.

anyway, you get the drift.

Has anyone done this before? What result have you had- what did you learn from the practice? If anything?

I figure in an 8 hour shift it might not take 5-7 minutes out of my whole shift to jot down the acitivities. I do not know if this is feasible but I am going to attempt it.

This same resident that fell later went into another room and scared that person who got out of bed and fell in the elevator all alone. I was in the bathroom with a res and had another res across the hall (not to be left alone on john) also on the toilet so could not leave the two alone to go to 1st floor. She is a wanderer and in her chair goes from room to room opening doors and going in. She really needs far more care and to be kept separate in my humble opinion.

It was a night that gave me my first doubts about my new career choice (have only recieved "one paycheck so far-new").

I am going back today and keep my chin up and keep going.

I By the way I lost my cell phone.

ETC. :banghead:

Had to chuckle at this. Last night I had a new hallway and as I did not know the room numbers or names let alone the habits, I went around knocking on each door to introduce myself and get an idea of who was who. One lol's cell phone was broken and I spent I do not know how long with her in the activities center trying to get someone to answer from her long list of family numbers! Finally, you just have to say, "I must attend to others, I'll take you to the front desk."

Another lady lost her purse, so I went in her room to look high and low. . . never found it, don't know if there was one?

But I must say the wide variety of persons and their unique care needs is interesting. I pondered on how women have to have every little kleenex, book, glasses, water cup, phone, remote, blinds, curtains, etc in its perfect place before letting you go, and men generally fall in the bed and that's that! We women are complicated creatures aren't we??? YIKES!

The downside is that you don't realize how helpful that those few independent residents you used to have in LTC were, until you literally have to do every single thing for every single person.

True! When a person can stand, it is a whole different type of thing. But, on the other hand, when a person can stand, late at night their legs are weak and their feet don't move and toileting can take a new challenging and lengthy aspect. My new hallway last night was the most "able-bodied" group I've had so far, and yet the slowness of every little step and movement of the feet guaranteed that I was still pushing to get all in bed by 9 pm.

One man is a 3 person transfer because he has girth and is dead weight, absolutely no assistance to stand or move. He gets the shakes for a few minutes after we transfer him because with 3 persons moving him, it frightens him; it seems rather, well, as if we are muscling him, and of course we are! If I recall, he has had a brain tumor.

No call lights makes perfect sense! No one could use them or know they are there. I have had several who have no need of them also. God Bless your work.

True! When a person can stand, it is a whole different type of thing. But, on the other hand, when a person can stand, late at night their legs are weak and their feet don't move and toileting can take a new challenging and lengthy aspect. My new hallway last night was the most "able-bodied" group I've had so far, and yet the slowness of every little step and movement of the feet guaranteed that I was still pushing to get all in bed by 9 pm.

Mmmhmm. On one hand, it's nice when a person can stand, takes the strain off your arms and back a little...but on the other hand, when it feels like it takes a person 5 minutes just to walk 10 feet across the room, it's easy to get impatient and wish you could just pick them up and haul 'em. Plusses and minuses to everything.

Some nights, after lifting so many residents, some of whom are quite heavy, I miss working in the alzheimer's unit I used to work on...there, the residents had to be able to stand and walk with minimal assistance to be there...then, I remember how time consuming the simplest thing could be simply BECAUSE of their condition, both physical and mental.

I was thinking about this post today, by the way - I had a new trainee and she was talking about how she was having a hard time remembering who was due to be repositioned/changed/etc. and I suggested that she "journal" it for a couple of days until she got the hang of the routine. Never would have thought of it before. :)

+ Add a Comment