Latest Comments by kacie.knyvett

kacie.knyvett 5,800 Views

Joined: Apr 18, '12; Posts: 6 (33% Liked) ; Likes: 10
Nurse Aide; from US
Specialty: 3+ year(s) of experience in a well adopted CNA

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    Yes! Not all patients sleep during the night. There are some who keep awake and need someone to talk to them. It is truly appreciating about you to know that you still managed some time, and planned your tasks accordingly.
    Thank you for your thoughts.

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    Thank you for your priceless inputs. You are also right to about the upset feelings when a person dies. However, sometimes attachments with patients never allow nursing aides to overcome the loss. I was trying to place my opinion about getting over the emotional feelings. You have also reminded nurse aides about their primary duty - to help patients die comfortably.

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    Thank you for sharing your thoughts. I would like to read some more from you about the post-mortem care, and how you manage to be strong for the families.

    Thank you,

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    Thank you for sharing your valuable insights. It is truly wonderful to know that you take pride in serving patients in their last hours and let them rest in peace with dignity.

  • 7
    ebunoluwa, Blanca R, Petty2618, and 4 others like this.

    Night shift is the most challenging time to work be it any profession. Since we are going against the routine procedure, our body is not made for, experiencing certain health problems is natural once you start working in the night shift. As we are working during the time when our body and mind need the rest, we are doing the opposite. Even nursing aides working in healthcare sectors are not untouched with the problem faced while working in odd shifts. They have to deal with several types of problems besides fatigue. As you have joined the nursing profession, you must first know the following challenges while working in the night shift.

    Most of the problems in the nursing field is due to the staff shortage across the United States. That is why each nurse aide has to cater her services to minimum ten to fifteen patients. On the top of it, the situation each patient in the facility is experiencing is different. Some might be having a problem associated with dementia,while others may need assistance in incontinence. Then there may be some who have the habit of taking a shower before going to the bed.Handling people with such different types of issues all alone in a shift is a tedious task.

    Though death has no particular time or appointment, mostly, it occurs during the time when the rest of the world is sleeping. Death at night shift in various healthcare facilities has been confirmed through a survey. Night shift CNAs are the first to know that the patient has expired or is about to give up his or her fight against the death. When somebody dies, nurse aides have to remove all the equipments used in keeping the deceased alive. It is their duty to perform the after-death care and send the body to the morgue and inform the relatives.

    Another challenge is documenting the stock of supplies and sanitizing equipments. Nursing aides have to clean the wheelchairs, bed linens,help patients put on new clothing, and bathe them. Further, it is also necessary that the patient does not sleep in the same position to develop bedsores. Nursing aides have to change the position in the bed without disturbing or breaking patient's sleep.

    Here are the tips to handle these night shift challenges

    The staffing problem can be managed if you are in good terms with other CNAs. As soon as you are debriefed by the outgoing nurse aide,try to sort out tasks starting with the most urgent. Do not hesitate to ask for assistance if the you need it. Since nursing patients is a team work, your colleagues will offer help if they are less burdened than you. If you are showing your concern for the comfort, safety and faster recovery of patients, getting help is easier.

    Since you have done your best to extend the lives of clients under your care, you should not be affected emotionally when the inevitable happens. When a patient dies, honor her or him by performing the after-death care. You may also need to console the relatives, and help them embrace the truth with a strong heart. Instead of lamenting over the fact, and take it to the heart, try communicating with co-workers. Get charged and make a promise to yourself that you will not allow any more death during your shift. This will motivate you to keep going.

    Keep the cleaning and documenting work when you have completed with activities like bathing, feeding, changing the soiled linens and patients' uniforms. Try to use the maximum of the shift time by organizing the equipments to be cleaned at one place. When patients are fast asleep, you will get enough time to handle these chores.

    These are the challenges and tips to handle them while working in the night shift. If you manage your time and have planned properly, you can also have your breaks and chat with your co-workers in the spare time. No doubt, you will have problems working in night shift during the first few months. However, once you are accustomed to the routine, the shift will become enjoyable.

  • 3
    ErikaD360, HappytobaCNA, and Joe V like this.

    Though I may not consider myself as highly experienced certified nursing assistant, but my three-years of working have taught me a lot about the other side of this occupation. In this short span of career, I have faced many problems. Maybe, there are some more to come for me to handle it. For now, just out of the sense of camaraderie, I though about sharing my experiences on problems I faced initially, and how I got over it.

    Any new job be it first or the last is always exciting, and it comes with a lot of skepticism. You are excited and raring to go as well as nervous thinking how the new staff would treat you, or whether you would beable to cope with the work environment or not. And when the job is ofan entry-level like the nursing aide, lots of emotions creep into the mind.

    As a certified nursing assistant, you will start facing problems that stem out of sheer competition among equal rank positions. Your colleague, though holding same designation and pay will try to treat you as a junior, even if he or she might have joined just a couple of months before you. To keep with the self-esteem of being senior, the fellow workers may start poking their nose in everything you do, or try to kill your confidence.

    There are several problems you will face at daily work environment. The most common ishorizontal violence or bullying. These terms are related to any displeasing behaviors mete out to one colleague by another. This could be insulting or criticizing you in presence of a patient. This unprofessional act is easily recognizable. Bullying can also be indirect in cases where you are not counted or included in any teamwork.

    What I did to handle these odd conducts against me was to increase the level of communication with the staff. I tried to build up relationships with other nurses. Whenever any nurse dropped in wearing a beautiful dress, I appreciate it. I used to set reminders on my cell phone about the important dates of people working with me such as birthdays, anniversaries, and other small events. When the day arrived, even though I had a share in the staff contribution, I still used to present them with a separate gift. Slowly, the people started recognizing me because nothing bridges the gap better than gifts.

    Second in the list of problems you will face will come through the higher level. Though you may never have direct contacts with the nurses grabbing a higher position on the hierarchy of the setting, sometimes they will try to find in you a scapegoat so that they can impose any of their failureon you without any second thought. The problem can cost your job. To prepare for such incidence, you must make a few good and trusted friends among your staff who can boldly testify for you.

    These are just few ofthe common problems CNA has to face on the job. The severity, frequency and reasons may vary though. To stand clean and tall, I will suggest you to create an identity of your own with your nature.Try to share problems of fellow workers they are going through in their personal lives. If you are able to offer even a single solution that can work for them, you will surely make a place in their heart.