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Daniellerdh

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  1. When I started as a CNA I only had about 3 days of orientation and then I was pretty much alone, my partner did not want to help much. I cried for about 2 months. But I am fine now I kind of figured it out on my own. I know some people who started after I did had asked for more orientation and they gave them more orientation. You should talk to your DON or charge nurse. Also, hoyer lifts should always require two people so if you are doing that alone that could be automatic termination.
  2. We have 3 or 4 who can make their own decisions. I always ask them before I do anything, even if I am just checking sheets. I always ask if its okay for me to do so. So in the morning if i ask them if i can get them up and ready for breakfast and they tell me they dont feel like it, my nurse will ask also to make sure they refused. If a resident has diarrhea my nurse will tell us to leave them in bed because day shift does not do a first round until 10 or so, so its a long time for them to sit in diarrhea. But DON has threatened writes up to CNAs who dont get all 15 up, and the nurses on the shift as well. I know these residents that we get up are not being put down or changed during the day because when we start to put them dowm some of them are wet, their pants are wet, their shirts are wet, the chair, the sling. Its sad really I cried last week when I found a resident like that.
  3. I work at a long term care facility on night shift 7p-7a. On my hall I have one partner and we have over 40 residents 35 check and changes. We have around 12 feeders. Every morning on our last round we get around 6 feeders up for breakfast. All of which are with mechanical lifts. One feeder we had not been getting up for a while because he is always still in his chair and soaked when i come on at 7p. He had developed skin breakdown and had pressure ulcers. He was healing good since we had been leaving him in bed in the mornings. But all of a sudden they give us a list of 15 residents who need to be up in the mornings. Some of them are not even feeders.Now he has developed pressure ulcers again since they are making us get him up. I understand its good for them to be up out of bed but some of them dont want up at 4:30 which is when we have to start getting them up to be done by 7am. I always thought they have the right to decide what they want to do. Ive reported that several refuse to get up that early and I was told MAKE them get up. We were also told that we get them up and put them back in bed when we get there. Wouldnt it make sense if these residents are laid dowm to be changed on day shifts last round that they would already be in bed? Why would they change them and get them back up to sit and wait for night shift to come? Am I right or wrong for leaving them in bed? Does any one else think 15 get ups is too much?

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