I have worked in Long Term Care almost my entire nursing career. I have always faced these problems. As an RN, however, I am responsible for the LPN's and CNA's under me when I am supervising. Let me tell you that this is not an easy task. To make rounds and check up on these staff members who know their job but often get lax in their caregiving. At my present place of employment, we have a bunch of very lazy CNA's and LPN's...and don't get me wrong..i am not trying to put down LPNs and CNAs..im just saying we have some lazy ones..who really try to get away with everything..No one seems to want to work anymore. There is always things that don't get done around there. The CNA's have for instance bath flow sheets similiar to our skin audit sheets..They are to put the residents name, if they had a bath or shower or bed bath..give the condition of their skin, and sign thier name...the charge nurse, LPN usually..signs after them that the above is correct..well most of the time, that LPN doenst know for sure if they had their bath or not..They were busy with their own tasks..although they are sposed to make rounds..this doenst get done very often. I feel that our nursing homes are in a sad shape..Any suggestions? LisaRN94