Med-surg CNAs: Looking for advice?

[mstearns09]

I just started working in the med/surg floor at my local hospital after 2 years in LTC. We have a mix of patients as we also run a swing bed/skilled/intermediate unit along with acute and outpatient/ observation. I have a pretty good idea what I am doing with the SBS/SBI people but I am still learning when it comes to acute and outpatient/ obs. I have the vitals down pat and snack and ice pass but I often wonder if there is more I could be doing or that I am not doing.

[Hannah10]

That is wonderful! I'm sure you have gained more experience from when you posted this. I work on a Med/surge-Cardiac/telemetry unit at my hospital and our patient census and their needs can vary from patient to patient.

I always try to keep a mini check list in my head and make note of each patient and their needs.

Make a note on if they are a 1 assist, 2/3 assist or independent, if they are incontinent, independent or have a Foley. Turn and position people (If they are not able to turn themselves), keep their call light near them at all times, bed alarms, making your hourly rounds, making a note in any sudden physical or emotional states for your patients and in all this....always be communicating with the designated Nurse and charting.

Not sure how your floor is run and the rules and regulations for Aides in your state, but im sure you have things down.

Have fun!