Newbie at work need your help, please!!!

[tavia_yeung]

How do we suppose to know...

*1. which patient is dependent or independent?

*2. which pt eat in their room and which one eat in the dinning room? And which one need to feeding or not?

*3. which pt need to change into their sleeping gown and which one doesnt need that they just sleeping in their normal clothes?

*4. when is the pt bath/shower day? and how do you know if the pt just need a bed bath or in the shower or tub?

*[The assignment sheet doesnt mentioned about these things so where can I find all these info (what the paper called)? The assignment sheet just have my name and the room numbers of my assigned patients.]

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5. Just wondering what kind of lift devices are available at your facility?

6. When using the hoyer lift, is it ok that you do it by yourself or you need another assistance there as well?

7. When can the hoyer lift be used? I know we used it to lift the heavy pt in and out of bed, what else?

8. What happen if it's time to eat and the pt still sleeping. Do we wake them up to eat, or let they sleep and eat later once they wake up?

9. What if the pt refuse to eat, even after we offer to feed them and still they dont wanna eat. Do we take the food back to the kitchen, or leave it in their room so later if they get hungry they can eat? Or what are we suppose to do that mean to be the right thing? (I noticed the CNAs took their food tray away after asking the pt many times and they dont wanna eat, is this the right thing to do or is it consider as neglect?)

10. If we done everything w/ our assigned pt and nothing left to do for a while. Is it ok to go to take a short break, or go to other station/hall to help the other CNAs out?

11. I noticed that the CNAs that training me dont even do oral care (brush pt teeth, or wash pt face, ect) on the morning:eek:. They just wake the pt up and let them eat. Is that happened at your facility and can I report that to the nurse or supervisor?

Sorry for many questions, didnt know that I have these much q's to ask...but help me answer it please.

Thanks in advance for your time and help!!!:)

[caliotter3]

If you have the time maybe it might be more practical to do the oral care after breakfast. I know that is not optimal, but better timing, if you only have time to do it one time during your shift. Of course, if the resident can do anything for themselves, then offer to get them started and place everything within reach. Sometimes you have to compromise.

[tavia_yeung]

Ok, thanks for the reply.

[fuzzywuzzy, CNA]

I mostly do it after breakfast. I don't brush my own teeth until after I eat. And most of the residents get orange juice on their tray every morning which is totally disgusting if you've just brushed your teeth.

[CoffeemateCNA]

Why do oral care before breakfast? I would want a clean mouth after breakfast rather than one before. If oral care is done before breakfast but not afterwards, then that food is just sitting and decaying in the person's mouth all morning... ...which is somewhat missing the whole point of oral care.