pericare with brief changing?

Oh heavens to betsy. Gawd forbid that 20-year CNA gets ahold of another new CNA and destroys the sense of compassion and caring that is necessary to keep that facility 'top-rated.' Never let anyone tell you that you'll get fired for giving peri-care !! The crusty old CNA who told you that's the reason you are slow should get reported for neglect. I'd bet money that the only reason you are ~slow~ is that you are thorough and you simply haven't discovered your own personal 'flow' yet. You'll get it though, I promise. It comes with practice, and you'll get plenty of that. I started out pretty slow myself, and it was mostly because I was just unsure of so many little things. Now I'm neither the fastest CNA nor the slowest, I have my own pace that is comfortable and efficient....but I assure you none of my residents ever smell bad or have dried BM on them. The best way to learn about proper time management is in a LTC facility. Any CNA who wants to threaten you with firing because you peri-care people is probably running scared that you'll show them all up for cutting corners to save time.

A lot of my coworkers do the same thing as this aide. It's disgusting. Every time I change a brief, I clean the resident with peri-wash and wet wipes. In time you will be faster, as you get a good routine down.

I hope one day, the aides who don't bother to clean the residents have to find out what it's like to have urine and bm left on their skin all day,

Ignore that person. You'll get faster with time & still be able to give your pericare. My facility doesn't even use disposable wipes; just washcloths and periwash, and there's still enough time to clean up the residents when changing them.

We don't have wipes either. I work first shift and if I'm doing AM care I use soap and water and the rest of the day I use lotion and a dry towel. It's quicker, it uses less linens, and I think the lotion cleans more gently. So you could always try that.

ALWAYS do peri care!

Forget the other CNAs. Speed comes in time. Go slow, learn your tricks as you go, eventually you won't be staying late. Good luck!

One trick if you're in a hurry and about to do rounds is to put some washcloths (or wipes, if you have them!) in a bag and either dampen them with water or peri-wash if you have it. Then you will have them with you while you do your bedcheck. Saves you from having to run ot the sink to dampen your washcloths or try to get the wipes to come out of the package when they all like to stick together.

My facility has wet wipes and periwash, so before I start my bedchecks, I separate the wipes, put them in a small bag, and add some peri-wash to them (because the wipes alone don't take care of odor very well). Super convenient.

One trick if you're in a hurry and about to do rounds is to put some washcloths (or wipes, if you have them!) in a bag and either dampen them with water or peri-wash if you have it.

This would be so handy but don't your residents complain that it's cold then? I swear I waste more time waiting for the sink to run warm water so I can do the pericare... frustrating! I usually turn it on while they're on the toilet or before I take their wet brief off in bed, but then I have to leave them for a sec to go get the now-wet washcloth. Wish there were a portable washcloth warmer I could carry for my rounds.

As a CNA instructor, I applaud you for doing things the right way! Hold your ground and continue to give your patients the best care that they deserve. Would that other CNA go to the bathroom and not wipe herself? Well...maybe she would. I guess you could ask her to find out. In the meantime, keep up the good work. I always tell myself this: When I go home from work at night, I am the one who has to sleep knowing what kind of job I did that day. If I decided to cut corners at the expense of a patient's comfort, I know I would not sleep very well. Good job!

You should always clean a patient after you change their brief, or there will be urine and feces on their skin which will irratate their skin and can cause worse problems. Some are just too lazy to go that extra step to make patients feel comfortable and clean. It's obvious that cna has been working for 20 yrs too long and she needs a different career, do what you know is right and don't worry about anybody else but your patients.

This is ridiculous! Unfortunately though, I too have seen this at the facility I work at. There has been times when I was helping another CNA change someone and they didn't wipe them up when changing the brief and I actually have said something to them about needing to clean them up... a lot of times the excuse I get is "well, theres no wipes!" I always find it helpful to stock my rooms with wipes and whatever else right when I start my shift. Now, I don't work night shift but I find that thoroughly cleaning a patient doesn't take that much more time or effort. Maybe this is because I've been doing this for almost three years but eventually you will develop a routine where it will take no time at all. Good luck and learn to ignore the ignorant people that have formed their own bad habits.