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CoffeemateCNA's Latest Activity

  1. CoffeemateCNA

    How to change resident with broken leg or ostomy bag?

    Changing a brief with an ostomy is no different than someone without an ostomy, just remember to make a slit/rip in the top front of the brief where the stoma is so that the ostomy bag is not trapped under the brief. A trapped ostomy bag can cause skin breakdown and has the potential to cause fungal infections.
  2. CoffeemateCNA

    Your pet peeve of the week

    I know it's been mentioned about 8,734,816,349,817,818,273,664 times on this forum already, but family members that stand in the doorway or go stand at the nurse's station instead of encouraging the patient to put on the call light IRK ME TO NO END. I want to purposely run down the hall with a Hoyer or med cart and "accidently" smash their feet or knock them over on the way past. I wish they understood that rather than prompting me to take care of mom/dad/husband/wife's needs more quickly, it makes me ignore them longer. I WILL answer every other call light before I come to you. So... TURN YOURSELF AROUND AND GET BACK IN THE ROOM. Most of the time, it was something stupid that they could have done themselves anyway. Can't win for losing.
  3. CoffeemateCNA

    New CNA, not too well at taking insults.

    When people cuss at me or call me names, I usually bust up laughing, even double over (depending on how funny it was). Don't take everything that people say so seriously. This job is hard enough as it is. Some people think this is rude, but really, I couldn't survive the mountainous crapload of insults without laughing. I highly doubt your supervisor knows exactly how his/her parent is actually treating you. There have been numerous occasions where I have taken care of a supervisor or coworker's parent, and they have always been very prompt at stopping unreasonable behavior before it got out of hand (i.e., "Mom, STOP with this call light business; the aides have better things to do than come in here every 5 minutes"). Next time the parent was being unreasonable, I wouldn't hesitate to say something like "You know, I don't think that your son/daughter [insert supervisor name here] would be very happy to know that you were treating me and friends this way. You need to stop [insert behavior here] or I will let [son/daughter's name] know how you have been acting." I would even walk out of the room and let them know I would come back when they were ready to be respectful to me. When you see your supervisor, let them know how their loved one has been acting and ask them to speak with them. I've never had a "royal" resident's family get upset with me for letting them know these things. After all, they've been around these people their whole lives and have a pretty good idea how they act. In fact, I've found that families from a nursing background and more prone to tell their mom/dad to "knock it off" since they know exactly what it's like to be on the receiving end of bad behavior. Boss's family member or not, don't take crap from people. Stick up for yourself.
  4. CoffeemateCNA

    What do you do when the workload is just not doable?

    Partners are best, but when we used to have just 3 aides, we came up with a system. At the beginning of the shift, 2 buddied up and got everyone up for dinner, while the third person passed all waters, did the vitals (which were due by 1630), and answered call lights. Halfway through dinner, 1 would start taking residents back to their rooms one at a time as they finished eating and put their gowns on and do quick oral care (other 2 would continue feeding) and perhaps put a few super-easy people to bed, time permitting. When everyone was finished, the other 2 would buddy up and put everyone in bed, do a quick brief change, and move on, while the first would continue getting people out of the dining room, getting gowns on and doing oral care as well as answering call lights (basically going around and telling the residents that they will be put to bed shortly just as they are every single night and to stop putting their stupid bloody lights on every 5 minutes). There were just way too many people to do any p.m. washing up except for face and hands (plus we had bath aides during day, so we didn't do showers except for "emergencies"). We had time to do basics only. System worked very well. We came up with a schedule and rotated who did what job. You'd have 2 days "on" with doing most of the transfers, but then have 1 day "off" with the easier tasks. Of course our exact system probably wouldn't work for you, especially in a dementia unit, but perhaps you could come up with your own to suit your shift's needs?
  5. CoffeemateCNA

    FED UP CNAS!!!!

    Fed up with the nurses that think that all CNAs are lazy wicked communists that are secretly planning to overthrow the nurse(s)' power so that we can rule the floor ourselves. Fed up with the ones that think we break every rule on purpose and that we don't care, especially the ones that have never truly worked the floor (in our role) a day in their lives. Sure, you can do the skills, but you can't do the job. Get that straight. Oh, and 4 months as a nurse intern does not make you a CNA expert. Those of us that have done this job for years are insulted by that insinuation. P.S. I throw linens on the floor.
  6. CoffeemateCNA

    FED UP CNAS!!!!

    To the lady in OT: WHAT IN THE WORLD do you mean you gave a full bed bath to a resident (as part of their rehab), but skipped over their lower legs and feet and saved them for me to do? Yes, I appreciate you helping get someone's bath out of the way (well, PART of it), but really, would it have been THAT hard to spend an extra 45 seconds cleaning their legs and feet before putting their TED hose on, dressing them, and putting them in their chair? Thanks to you, I will have to transfer this obese person back into the bed, undress them, run a whole basin of new bath water and soap, and waste yet another precious washcloth and towel, not to mention 5-10 more minutes of my time (which I do NOT have to spare). Thanks for the consideration. Really. I hope they have a nice big loose BM waiting for you when it's time again for therapy.
  7. CoffeemateCNA

    Same assignment/residents

    I hate having the same people to take care of all the time. Float me around, and I'm happy. If I have the same residents all the time, I tend to get a lot more frustrated with them over the smallest of things and get burnt out quickly. One of the good things about permanent assignments, though, is that you get to know your residents and their routines VERY well, which makes things easier in that aspect. If I get new people (or at least a different assignment) each day, it keeps me on my feet and makes things more "fresh." I like variety. Our management often prefers permanent assignments because it "provides for better continuity of care," but I think that's a big fat load of BS. I think certain people just want to be lazy and have less scheduling to deal with. People get tired of permanent assignments (especially the more difficult ones) and call in more often, necessitating frequent replacements. So in trying to minimize the number of caregivers that work each assignment, they end up creating more than there was to begin with. Total crap.
  8. CoffeemateCNA

    Just a random question

    We get report sheets. On one side it has the name, gender, age, room number, allergies, list of medical conditions, etc. On the other side there are handwritten comments such as "uses BSC," "up with assist x2," "incont. B&B," "q2h turn," etc. If they do not make them for you, most of the computer software that facilities use have the ability to print one out (and you can add the handwritten comments by asking about each person while you are receiving report from the previous shift). You could even just make your own with bare minimum info such as room numbers, level of assistance for transfer, continence, etc. The only reason I ever use toilet paper is to clean out bedpans. I always use wipes or washcloths for peri care. I think washcloths do a better job of cleaning, but they are less sanitary and less convenient than disposable wipes. If you don't know if someone needs help or not, just ask. It's probably more embarrassing for you than it is for them. "Do you need some help getting cleaned up or can you do it yourself?" is all you need to say.
  9. CoffeemateCNA

    Things you wish you knew before clinicals?

    It's those little, "innocent" old ladies that will always surprise you. The more blunt metal objects they are carrying, the faster they seem to run.
  10. CoffeemateCNA

    Non-standard places where else could a CNA look for work

    Staffing coordinators and central supply managers for hospitals and/or LTC facilities
  11. CoffeemateCNA

    Seeing coworkers outside of the workplace

    Is it just me or does anyone else on here find it EXTREMELY awkward to run across coworkers when you're not at work? I'm not talking about favorite coworkers, just the ones that you only interact with at work (and even then it sometimes feels like too much). It seems to happen to me once every month or so -- I'll be at the grocery store, pharmacy, movie theatre, etc., and see them. I feel like I at least need to acknowledge their presence with "Hi" but I'm usually at a loss for words for anything more than that. One of us usually does a forced "Oh, so you're not working today" or "Ah, grocery shopping..." and then we go our separate ways and pretend it never happened (and what's even more unpleasant is running into them a second time during the same trip). Does anyone else also experience this awkwardness?
  12. CoffeemateCNA

    Anyone here work as a medication aide?

    I'm one, and I guess you could say I'm a seasoned one.
  13. CoffeemateCNA

    Client complaints

    I am an inherent people-pleaser. Work (and LIFE) got so much easier for me when I stopped trying to make every patient 100% happy, 100% of the time. People will complain whether you do things the right way or the wrong way, that's just the way it is. Sometimes I acknowledge complaints, but sometimes the best thing to say when people grumble is NOTHING at all.
  14. CoffeemateCNA

    Awesomeness at work

    Me too. :) The reason I posted it and the moral of the story is "Screw what other people say/think about you." I had a funny comment to add about your post but I don't know how to word it without making it sound completely derogatory so I've decided to keep my mouth shut.
  15. CoffeemateCNA

    Awesomeness at work

    I can't share too many details (or risk losing my anonymity), but a few years ago, a coworker abused access to my personal information and used it to spread some pretty serious allegations about me (apparently I was involved in some "quite deplorable" activities ). I got to work one day, and everyone kept making strange comments to me, even the residents. I was so busy, though, that I didn't think much of it. Someone finally came up to me and started talking to me about all of it, but when they saw the puzzled look on my face, they explained what "happened" to me (as if it were factual rather than rumor). Let's just say that what they told me devastated me. And it was bad enough that coworkers were talking about it; the fact that MY RESIDENTS knew all about it just made me sick. I was a mess for the rest of the shift, and by the time I got home, I had myself so worked up that I sobbed for hours. I had no idea what to do, was scared, and didn't know who to turn to (I was *so* sure I would need to preemptively hire an attorney because I *knew* I would be going to jail). Someone wise finally said something to me along the lines of "People like that only have the power over your life if you give that power to them" and told me to ignore what was being said. It was hard. Everything in me screamed that I needed to take action of some sort. In short, I went to work the next day, no one remembered it, and nobody has ever brought it up since. I have no idea why I was so irrational that day. People have made up plenty of rumors about me before, but they were always so ridiculous that I could laugh them off. This time, it was different. I felt then (and even still today) completely trashy, stupid, and guillible for ever believing what was said about me. Looking back, there were such gaping holes in the story that a blind 1st grader could have spotted them (which says something about the intelligence of the person who started the "story" and partly about mine and everyone else's for believing it). People believe what they want to believe, whether it has a basis in reality or not. If anything, it taught me who my true friends were. Those who jumped on the gossip bandwagon now get little more than a "hello" or "goodbye" from me; those who stood by proved to me how loyal and trustworthy they were. Ever since this occurred, I have tried to keep an even tighter seal on my personal life. The less I put out there, the less there is for people to twist around (but unfortunately, by then they usually make it up from scratch!).
  16. CoffeemateCNA

    A problem at work.

    Throwing out a few mild profanities has worked faster for me than anything else I've tried. However, it can also blow up in your face quite easily, especially if the other person is a major drama queen/king ("Oh Mrs. Supervisor, you'll never guess who just cussed me out. It was so terrible, make it stop. :crying2:").