Need Advice for increasing my speed

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Hi All!

I am a PCA in a dementia unit working 11pm-7am. Throughout the night we do toileting rounds/brief checks, paperwork, cleaning, laundry, etc. At 5:00am we begin to wake our residents (we have 20 who need to be woken, 16 of them also need assistance dressing), we have until 6:30am, when first shift comes in we need to do report and assist with seating for 7am breakfast.

There are two of us and we cannot seem to have everyone ready in time. But I''ve been told in the past everyone has been ready in time, so obviously we are doing something too slow! I just want to have peace and happy staff when they arrive at 7am, instead of coworkers who seem unhappy that everyone is not ready. I think it is the fact that we are two new CNAs on 11-7 (both of us are fresh out of school).

Here is my routine: wake resident, assist resident to restroom, assist resident with sitting on toilet (all of our residents are mobile, most with walkers). As the resident sits on the toilet I remove their clothes, and brief. If it is a male resident I shave him while he is on the toilet. I then wash the resident (face, under arms, peri area), apply deoderant, then dress them (fresh brief, clothes, socks, shoes), brush their hair, then assist with brushing teeth. It takes me about 10 minutes/resident to complete this. Once they are ready I have to direct them (and often physically walk them to the sofa to wait for breakfast).

What can I do to speed this up? I also am a med tech and pass meds from 5:00-5:30, so reality is just one PCA is on the floor until 5:30, when I hop in and start to assist.

I am a very new PCA, I finished CNA school just over a month ago and this is my first job. Within three weeks of my new job they certified me as a med tech so I can handle the am meds.

Thanks all! I really appreciate your help.

Aries

HI All! Thank you so much for all the replies!

I spoke with the LPN in charge of my department. She did explain they used to start waking at4:00am, but state law restricts it to 5am. Only recently (within the past two months) did they begin to wake at 5am. We are expected to have everyone finished by 6:30am.

I pass meds, and can usually get 4-6 people ready in that time. We have a handful of people with meds, and a handful who get treatments (creams), realistically going quickly I can get meds/treatments completed within 30-40 minutes (assuming I adhere to all the rules pertaining to med pass, which I do).

The LPN said she didn't expect us to completely finish with everyone, but they do expect 16 of them ready by 6:30am (of those 16, 12 are full assist with dressing, 4 are self-dressing). Once she broke it down for me it seems far more reasonable that we can meet that expectation. I think one of the replies mentioned someone will always complain on the next shift...I think that is more the reality of what I am seeing, some people just cannot be satisified!

Thank you all!

Awesome. So glad to hear that it worked out and the LPN gave you sage advice. It helps her out in the long-run~! Congratulations and hope everything runs smoothly! :yeah:

Congrats on speaking up for yourself and getting everything clarified.

Yes, it seems like all shifts complain about one another. Day shift says nights didn't get enough people up, evenings says days put too many people down for naps, and nights says evenings didn't put enough people to bed. It's a vicious cycle. My facility's working hard to end the "shift whining."

Speaking from experience, you might be able to get down even a little bit faster if you do your treatments while getting people up. Just get those people up earliest or around the time the treatments are due, and go ahead and get them dressed and ready for the day since their clothes will already be off for the treatment.

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