I agree with the others who say you figure out what works in different ways. When I started I was very idealistic too...I had all these conceptions of the kind of care to give pts. But not every pt is the same, and CNAs are different too. There are great girls who work with me and others that I know will get NOTHING done. The best advice I can give you is keep your pts dry and don't worry about the piddly stuff. It is more important that they sleep well, eat well, and are changed. Also removing trash is important too....we get written up if we leave briefs in trash after we change. So do that and practice infection control, but changing the bedsheets for every bed q 2 hours? Not going to happen....:nuke: