knowledge_seekerLI

Yes they are ALL alert and oriented When I was oriented at the facility it was told to us that was the most difficult unit So its not like the DON doesn't know I just wonder if I should say something to her like most times I Dont mind completing my work its just sometimes I want to leave on time and charting takes about 45mins alone because we have to do both the computer system and manual book charting When the new t shift comes on I was under the impression that I am no longer "responsible" Like a resident falls at 11:02 i Dont fill out the incident report the next shift doed

These residents every u think you have figured out a way to speed up the process they throw a monkey wrench in the plans No I Dont want to get in bed now No I Dont want to be cleaned up now For instance there is a resident who was a hoyer now using the slide board unable to assist at all has zero control over her bottom half isn't strong enough to help with her top half and is about 180lbs refuses to get into bed any other way When asking pt who's taking the weight/doing the work answer was you are...

Its not like they "make me" miss my break its just that if I take that 30min break I will be so far behind and as mentioned I'm already leaving late On the MS unit about 93% of the people are two assist transfers (hoyer or manual) So if I'm on break there are only two aides on the unit and we have about 4-5 residents that take 30 mins minimum to complete care on not to mention this is a "younger population" so we constantly have bells that need to be answered for one resident for instance needs us to change her TV channel or find her something to watch on Netflix Or the other resident who constantly calls for the temp. To be adjusted or the one who calls "accidentally" and out of the 42 residents about 5 go to bed before dinner 7 if we're having a good start dinner comes up around 5-5:15 and ends 6:30-6:45 (we have a lot of feeders also) so as soon as dinner is over its chaos I'm not the only one who doesn't get one the nurse is lucky if she can grab a bite to eat and so is one of the other permanent Cnas Its not for lack of trying though I said last week "I'm gonna start taking my break and also ending whatever I was doing at 11" (meaning just completing that resident

I have only been a CNA since 2013 I have had two CNA jobs both at LTC facilities While the work is the same the way the facilities are run are totally different (in regards to my nursing supervisors) I work 3-11shift At my first place of employment while the work was rough on the sub-acute rehad floor with 3cnas in total most nights About 13-15 residents each 95% of patients were total care 4trachs About 80%were two assist transfers (hoyer or manual) MOST nights we worked through our breaks 30mins automatically deducted from our checks per shift (2.5hrs per week) Even after that I sometimes wouldn't leave until 11:30-11:45 on an average night and 12:00-12:30 on a bad night at 11 there would sometimes be a few people up the night shift had no issue putting them in bed however most nights myself and my other 3-11 coworker would just do it to finish our work sometimes we didn't and to my knowledge there wasn't a problem with this as it is a 24hr facility and the floor was the hardest in the building 7-3 if not complete would hand work to us (a few changes that hadn't been done a weight that hadn't been taken a bed that hadn't been made a resident that hadn't been walked etc.) At my new facility however I'm on the MS unit with the same issue no break same patient ratio 3cnas still not leaving until 11:30-12:00 most nights (and that's before my charting) however for some reason 11-7 has an issue with "leaving work" which I'm just fed up with this place I love my job I'm tired of being unappreciated I come in around 2:30-2:45 every day and I am lucky if I get to the bathroom once Is it wrong of me to leave work for the 11-7 shift Could I get in trouble for doing so? because tonight I was very upset with the 11-7 nurse as it was after 11 her aide was there a resident who always refuses to go to bed because her roommate keeps the room too hot she's on oxygen so she needs the cold air she is alert she made myself and another coworker put her to bed and change a two assist in bed resident because when offered she refused then we have several other people to change from 9:30 on who most have treatments for the nurse to do