Published Feb 15, 2015
peachescna
61 Posts
Hi all, I have a question in regard of my own experience in this few days I've been at this Facility .
The nurse supervisor or the one in charge of all trainings and orientation told us how Our day pretty much it's like. Starting with a report from the other CNA in shift .
My surprise was my firts day one of nurses in charge of our assignments told me, there's no report giving to the CNA . You just have to know your assignment, know your patients and work . " Here there's not report " and please don't tell . It its what it is here . I do want to know if this is right .
No having a report I don't know what so and so patient didn't get to do such an such . So family members don't yel on me . What can I do . Report it ? Or just do what I have to do . W my patients .
caliotter3
38,333 Posts
The nurses told you that partly to avoid having to give you the information themselves. That is wrong. It is the responsibility of the nurse to convey necessary information to the oncoming CNAs. The offgoing CNAs tell you the nuts and bolts about the patient assignments, but in the end, information about changes in condition, etc., are the responsibility of the nurse. So if you complain to the nurse, you are complaining to the person who delegated their own responsibility away.
mrsboots87
1,761 Posts
The answer to your question will depend on the type of facility. If this is a long term care, then no report is normal. There is a pretty set routine in the day and after you get to know the residents, what needs to be done will be know without report. I work LTC and we don't report to each other unless there is something significant or different. Such as so and so had a fall and will not be able to ambulate today. Or so and so is at a dr appt. Or so and so is at a dr appt. Or so and so died. See where I'm going. If you work in a hospital, then this seems odd that their would be report because you may not know ANY of the patients or what they need done throughout the day.
Thanks both of you ! Experience talks ! Very very thank you í ½í¸„
mirandaaa
588 Posts
There should always be a report. Even if it's just a quick, "Hey everybody is doing okay." I am not currently working as a CNA due to financial reasons, but when I was working as one, I made it a habit to seek out the CNA's coming on shift to tell them everything I thought they needed to know. From so-and-so isn't here (because of family/church outing or hospital), to so-and-so is having a bad day, to so-and-so was doing this earlier. It's good to get in the habit of report so the upcoming shift will go smoothly.
Even if the facility you're at doesn't mandate it or "doesn't do that," I would suggest just starting it yourself and get in the habit of it because it's a good one to have. Not to mention if you're in the habit of it, if/when you get a new job, you'll already be used to it.
Thank you ,
Missingyou, CNA
718 Posts
Maybe the nurse just wanted you to be clear that they didn't want to have a long conversation with each of their CNA's at the begining of shift to tell you what to do when your assignments are already written out for you.
Instead, if I were you, I'd find the CNA I'm replacing from the shift before and ask for any important info...such as the things mentioned above, residents out, changes in condition, those who need closer watching...etc...
and
at the end of my shift, I'd make darn sure I communicated with the oncoming CNA those other important things, and even that "nothing unusual"...because if something goes wrong it could come back to you that you did not communicate important information.
hookyarnandblanket
318 Posts
At the very least, I would be rounding with the off-going CNA to find out what has been going on. If you have to get vitals for a 72-hour fall follow up and don't get it done and the resident's vitals are off? Yeah, that doesn't look good on your part, presuming that is your responsibility; not every facility has their CNAs do that. I would also be checking with the off-going CNA my patients who are incontinent to make sure they are dry at the beginning of my shift. Nothing irritates me more than finding a patient sitting in a wet brief that clearly has been that way for quite some time. And the same thing should be done when you are the off-going CNA. I always make sure my patients are dry and safe before I leave the floor and clock out. After being accused of leaving patients in dirty briefs and not changing the bags on ostomy patients (in both places I have worked, it is within the scope of CNAs to change ostomy bags but not the wafer or phlange), I started marking briefs and bags with the date and time as well as my initials of the time I changed them. It saved my hide more than once.