First CNA job ever and it's Hopsice.... Any Advice??

  1. Hi everyone,
    I got certified a few months ago as a CNA and have just gotten hired by a staffing agency. I booked my first shift for this Sunday (12/23/12), which is in-home hospice. I've never worked as a caregiver or CNA in any capacity before. I'm very nervous and will be by myself all day with the patient and their family. Does anyone have any advice??

  2. Visit Melissa1986 profile page

    About Melissa1986

    Joined: Oct '12; Posts: 111; Likes: 24
    BSN Nursing Student; from US


  3. by   BostonTerrierLoverRN
    Be yourself, let them know you are anxious or nervous- but desire to give their loved one the best care you would want for your family member.

    Ask them if they have any special requests. Get them to tell you about the patient, and always explain audibly everything to the patient your taking care of- even if they seem unresponsive.

    I know it's a hospice patient, so getting their expectations on your care(which can vary depending on activity level) will be crucial. As for hospice patients, conventional ADL care and turning may be different. Provide good oral care, and if it's a male you can shave his face, if that's what he did, and keep hair presentable. You probably know all this- but showing them you care- and going the extra mile early will set up a rapport between you and the family.

    So much care depends on ambulatory status vs. bed bound unresponsive, progression of disease, and present mental status. You will do fine!

    Congrats on your first Post in Healthcare!!
  4. by   Melissa1986
    Thank you. I'm working the shift now. It's seems to be going well, but I'm not so great with documentation yet.
  5. by   BostonTerrierLoverRN
    Awesome! Merry Christmas! I hope it's a great first assignment, and you have many more rewarding ones to follow....again.....congrats on your achievement! Welcome to the rat race

    Don't feel bad on the documentation- I've been in Nursing 10 years and still hate documentation with a passion, you'll figure that part out well with time. Great Luck!