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fuzzywuzzy

fuzzywuzzy CNA

LTC
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fuzzywuzzy has 3 years experience as a CNA and specializes in LTC.

fuzzywuzzy's Latest Activity

  1. fuzzywuzzy

    Fired for posting on face book

    Our administrator made a fake profile and tried to friend a bunch of people on Facebook! Just to get dirt!
  2. fuzzywuzzy

    Residents with Cheesy-Smelling Hands

    It would be nice if they all had splints for their hands. Nursing has repeatedly put in for those through the therapy department and the requests get ignored or "lost." The facility only seems to care about private-payers. I do use hand rolls, but nobody else I work with does that, so the hands are always closed and sweaty. At the very least I would like to be able to get the stink off just once! No amount of soap and scrubbing seems to do anything.
  3. fuzzywuzzy

    Is it harder as a CNA in a LTC or Hospital?

    I've never worked in a hospital, but I think it depends on the person, the shift, and what part of the hospital. My friend used to work in LTC and now works in the critical care unit at a hospital and says it's much easier-- you do less stuff for the patients, it's less physical, and you often get pulled from the floor to be a sitter. Personally I think I would have a harder time at a hospital because I like the have the same routine every day. Although I have worked on the rehab sides of LTCs and it's a lot easier, but also boring. There are more call lights at certain times but less mind games, the patients do a lot more for themselves, and they spend a lot of time in therapy.
  4. fuzzywuzzy

    Residents with Cheesy-Smelling Hands

    I have a lot of residents with contracted hands, which get all moist and smelly inside. When I wash up these residents I do the hands first and after doing my best to get them dry, I take dry washcloths and stick them in the resident's hands and stuff it between the fingers to wick away any remaining moisture. I leave the cloths there until right before I leave the room so they're in there as long as possible. But the inside of their hands still smelly cheesy. I have residents that get cheesy/yeasty areas under their breasts, and the washcloth trick works *great* with them, but not the hands. Does anyone have any tips to get rid of the smell?
  5. fuzzywuzzy

    Career CNA's

    I like being a CNA. Obviously there are bad things about it (dealing with annoying people, condescending superiors, etc), but most of them are things that you'll encounter in pretty much all jobs. I don't plan on staying a CNA for life though. I don't have family money or a husband with a good job, so the pay is pretty bad for me. My husband makes the same wage that I do. We rent an apartment, drive modest cars (no public transportation out here), have crappy phones, no designer stuff, etc. No kids either. But we live paycheck to paycheck, basically. I would like to be more financially secure. I also worry about how this job is going to affect my health long term. I like that it's more active than sitting at a desk all day, but if I'm going home with stiff muscles in my 20s, how will I feel in my 60s? A lot of lifers that I work with eventually get put on the rehab units where it's easier, but I don't want to work rehab. My favorite population to work with are the really helpless advanced dementia people that can't do anything for themselves. I get satisfaction out of doting on them and would much rather to that than deal with rehab patients and their mind games.
  6. Dementia residents are one thing; sometimes it can be a trial-and-error thing figuring out what the best approach was. The young guy in the OP is an entirely different story. You have to try not to get flustered with them and only do what is reasonable rather than jumping through hoops to accommodate their every whim. When they try to get a rise out of you, don't show anything other than very mild irritation because remember, you get to go home after 8 hours :) You want to project the idea that his crap isn't really getting to you, so the game is not worth playing. If he threatens physical violence give him an "I don't think so" look and get your charge nurse. Unfortunately some nurses won't be very helpful about this sort of thing but some of them will go straight in there and explain why that sort of thing will not be tolerated... hopefully you have that kind of nurse behind you!
  7. fuzzywuzzy

    new cna. tips for time management PLEASE REPLY.

    I know exactly what you mean. I had a really hard time starting out, probably because of my anxiety about it. Try to relax (easier said than done, I know), because once you stop freaking out things automatically get a lot easier. Focus on safety for now, rather than little details. Before you leave a room, STOP and make sure that all those safety measures are in place-- low bed, alarms turned on, mats on the floor, call bell in reach, correct side rail position. IMO, if you have all that stuff taken care of but you forgot to brush someone's teeth or missed an incontinence check, that's okay. It's better than finding someone on the floor later! I'm guessing since you asked about dressing people that are working day shift. Part of how you structure your day is going to depend on facility policy and also the type of residents you work with. Are you allowed to get people dressed before breakfast? I worked at one facility where the trays didn't come up for like an hour so I would try and get as many people dressed as I could. In the place I work now the trays come up right away and we are not allowed to dress anyone-- we just do a round of incontinence checks and then pass out the food, but I always make sure that as I'm checking people I'll go grab their wheelchair from the end of the hall and throw all the stuff that I need (towels, clothes, briefs, hoyer sling, and their basin of supplies) in the chair and that way I can make a mental note of any of their supplies are missing so i don't have to go running around later. If your unit has a lot of total care residents that are not alert, you can wash them on your own time but you'll probably have to make time for a lot of incontinent checks, whereas a unit full of alert patients will take longer to dress because some of them are picky about their routine, but most of them won't need much from you after that. One thing that makes no sense to me is when CNAs wash a person up and put a shirt on them and leave them in bed. Then when they're ready to get them up they have to spend 50 years putting on pants, brushing teeth, looking for their shoes, etc. And then they wonder why they're behind schedule. I noticed that the people that do this are always the ones with the time management problems. On the unit where most people are total care, after breakfast I do an incontinence check on half my people and then I dress the rest of them. Then I go back and dress the first group and get them up immediately, then I go and change/get up the 2nd group. That way everyone gets an incontinence check 3x before lunch. It's much easier to keep up with your incontinence care if all your people are in bed because you can change them by yourself. But watch the clock because you don't want to have 3 or 4 residents still in bed 10 minutes before you're supposed to go to lunch! If you're new and slow, chances are you'll just have to aim for getting everyone dressed and that's it. If you're dressing someone and leaving them in bed, put their pants and socks on too. Pull the pants up around their thighs and if they use the hoyer, put the sling next to them in the bed. One thing that can suck up a lot of time is waiting for help with transfers. What I do is I get the resident all set up for the transfer before I ask for help, because that way if the other CNA is available immediately, I'm not making them wait. This means I have the person's clothes on and the chair and hoyer lift (if necessary) in the room. If the other CNA is in the middle of something I usually help them finish what they were doing and then we go do my resident. If I do get stuck waiting in the room I'll do something that doesn't matter if they're in or out of bed for, like mouth care or shaving. Basically you do not want to be standing around for any reason. CNA work is never done, so you should always be able to think of something to do! Basically you just have to get to know the residents and their routines. i am pretty creative when it comes to finding little ways to save time but most of them are resident-specific so they wouldn't be much help to you. Just remember to calm down and check for safety. Those should be your priorities right now. If your facility doesn't provide "brain sheets" then you should definitely make your own. For me personally, it helps if I write things down. Like if I skipped brushing someone's teeth or I noticed someone's fingernails were dirty and I don't have time to deal with it immediately, I write it down and cross it off later. Otherwise, I keep thinking about it and I get frazzled. That's another reason why I like to finish what I start and then move on to the next thing. I work with some CNAs who can never get out of their own way and they're always disorganized and will run around starting things but not finishing them.
  8. fuzzywuzzy

    book required for CNA 1 course.

    I wonder why she won't tell you about the book until you register. That seems odd. My book was included in the price of the class and they handed it out to us on the first day.
  9. fuzzywuzzy

    Resident False Accusations??? help

    Just bring a witness in for the residents that have been accusatory. You don't have to do it for everyone. In my facility if someone makes an accusation they will actually care plan for them to have 2 CNAs all the time. In my experience the people that are alert enough to make an accusation like that in the first place tend to also be able-bodied enough to wash their own junk. If you can hand them the washcloth and tell them to do it, by all means, do that. If, for instance, one arm is paralyzed and the other has to hold on to the walker, then get a witness or make plans with the other aide for them to be doing care on their roommate at the same time so they can keep an ear out.
  10. fuzzywuzzy

    The weirdness of taking Vitals Signs.

    I do it while "writing things down." You can also count them while taking the pulse if you're good at multitasking. Count the pulse in your head and and every time you see them breathe in press one of your fingers down a little. Then when you're done make a mental note of how many fingers you pressed down (my CNA instructor taught us that one).
  11. fuzzywuzzy

    Wearing Rings

    I don't wear mine. I kept thinking I was going to scratch someone with it. And one time a resident grabbed my hand and squeezed it to steady herself during a transfer and squashed my pinky finger against the stone, which REALLY hurt. It's not good for the ring anyway... too much wear and tear in a job like this.
  12. fuzzywuzzy

    Shocked with my CNA clinicals.

    Like someone else said, supplies in LTCs suck, even the good facilities, and if you want anything decent for the residents you have to buy it yourself. And if the person can self propel, then putting foot rests on their chair is a restraint. And shampoo and conditioner are pretty much soap anyway. I've used conditioner on myself a couple times when I've run out of soap, and I still felt clean.
  13. fuzzywuzzy

    Working with residents who have C.diff.

    Healthy young people hardly ever get C-diff. You mainly need to take care not to pass it to the other residents.
  14. fuzzywuzzy

    Do you get a lot of call ins

    I used to get annoyed when I suspected someone called off for no reason. I don't anymore. I understand that people need "mental health days" and that the reason they called off is none of my business anyway. As long as I get to go home after 8 hours I don't mind working short. What gets me mad is when we're expecting a snow storm so all of second shift calls off BEFORE the roads even get bad and then management forces us to stay over.
  15. fuzzywuzzy

    Daylight Savings

    I work with someone who insisted that without DST, it would eventually be "dark at noon." I'm like yeah, if we ONLY set the clocks back every year without ever setting them forward again, or vice versa. But she kept saying her piece about darkness at noon. I didn't bother trying to explain much further.
  16. fuzzywuzzy

    When did it become ok for patients to do this

    It genuinely doesn't bother me when a demented person does this. I'd rather have that than combativeness. But the few times that an alert person had made comments... eww. It makes me glad that I work in a nursing home where even the rehab unit doesn't get a lot of men at all, never mind alert ones. But I used to get that kind of crap all the time as a cashier. A lot of men are like that in their daily life and get off on thinking that since you are "serving them" in a professional capacity that you don't have the power to do anything about it. They LIKE making you feel uncomfortable, and they LIKE the power differential. If they're truly not "like that" but are just making a comment because they're nervous about being in a position of needing something from you, then when you react with surprise or discomfort they will not do it again. If the dude is a jerk then he'll keep doing it and you need to try not to show how uncomfortable you are, and act like you do not notice or care. If they get more explicit after that, feel free to make a cutting, sarcastic remark, but again, don't get emotional about it, because that just eggs them on. You don't want them to think they're getting a rise out of you or making you feel degraded. I know that in this line of work you're supposed to be all nicey-nice and everything is considered abuse, BUT I can't imagine getting in trouble with the nurse for making a wise remark when an alert and oriented patient is sexually harassing you. I feel like in my experience nursing is a lot more supportive than supervisors in cashiering jobs (it's sad how much abuse you are expected to take in those jobs). If you outright insult the patient you will probably get spoken to about the appropriate way to deal with these situations. But I don't think there's anything wrong with saying, "Gee, too bad I'm not allowed to date patients because you're soooo charming!" or something like that.