NAs accountability

[Kayleigh Stanley]

I have been a nurse for over 15 years, and a lot of it spent in icus. I recently took a position as a team lead at a new hospital (new for me), on a surgical pcu and medical surgical floor. I have recently realized that the NAs are struggling to know what and when they are supposed to do certain tasks, and which shift is responsible for which tasks. Baths in particular are a big question mark. I recently found out that some of our NAs will mark a bath as refused, and then the next shift is supposed to offer them a bath again, and come to find out they were never offered the first bath... how do other places assign their baths to make it fair, and how do you hold your NAs accountable for following through or not following through on completing these tasks? My suggestion is do divide the baths by days doing the odd rooms and nights doing the even rooms, along with creating a dry erase bed board to make a visual of which baths got completed, and which ones did not. Currently, my night shift na is looking through the charting to find out who did or did not get a bath, because what she gets in report does not match up with what is charted. Thank you in advance!