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i_love_patient_care

i_love_patient_care

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i_love_patient_care's Latest Activity

  1. i_love_patient_care

    Psychiatric Nursing Assistants

    I'm not a psych tech/assistant, but have served as one through a registry. In the facility I worked at the most, we had to do quarterly checks on the patients. Basically, we had to check on each one and see if they were asleep or not (this was at night), and document it. If they needed to be watched 1-to-1, it was our job to watch them, and make sure they didn't hurt themself or someone else. There was little to no drama among the nursing staff compared to other types of units/facilities. Very good teamwork, and positive work environment. I've worked in three such places, and was pleasantly surprised at how well everyone worked together.
  2. i_love_patient_care

    Client's daughter too pushy

    I've posted here before, and it's been a while. I worked in facilities, both hospital and SNF for at least 3 1/2 years. Several months ago I began working for an elderly man in his home. It started out very good. He is a lovely man, and I would enjoy continuing to care for him. The issue I have is with his daughter. Most of the time she doesn't leave when I arrive. She will get between me and my client sometimes when I am trying to assist him walking or into his car. I've told her politely that this can be dangerous, but she still does it. Recently, he got a urinary tract infection. (permanent indwelling catheter) Before this he was able to stand up with a light boost from just me. Now he can barely hold his head up sometimes and is having issues even holding on to the walker he uses normally. Simple tasks such as bathing and brushing his teeth are more difficult because of this type of coordination. His daughter insists on both of us lifting him up to the walker and "helping him walk". Based on previous training and experiences, I don't agree with this. During previous work with a PT this did not happen. My back/shoulders are beginning to hurt. (not asking for medical advice) The other issue is she has no other caregivers for my days off, which I have to ask for almost on a daily basis (she likes the schedule to be "flexible" which ends up me working 5-7 days a week). I'm trying to figure out a gentle way to tell her that I'm getting burned out and we cannot continue forcing him to walk in this manner. I've asked a more experienced CNA friend and the advice is to not continue. help!
  3. i_love_patient_care

    Wedding rings at work

    Hi, I have a similarly sized ring, and would not personally wear it at a facility. It could get caught on a patient's skin, harbor bacteria, among other things. It could also be damaged if you are busy and bang it against something. Right now I work in home health, and take it off when I'm transferring my patient or doing housework. Just use your better judgment.
  4. i_love_patient_care

    LTC/SNF, Hospital, Home Health, Assisted Living....

    I agree with paws. I've done all of them. Personally, I like home health the best because I only have to worry about one person and it's easier on my body.
  5. i_love_patient_care

    CNA questions

    It depends on how busy you are, whether you should be charting as you go or charting at the end of the shift. I find it's better to keep a piece of paper with me to jot notes down if I don't have time to chart. Typically what I do is put all the room numbers on there and then leave space for vitals, I/O's (how much fluids in and out) + BMs, stuff like that. If you answer another CNA's call bell, just tell them what you did. That's typically how it is in most facilities. Some facilities are more specific than that, but really as long as it gets charted. CNAs can fill out incident reports, and where you fill it out varies from facility to facility. It really depends on if you are using paper to chart or if there is a computer being used. Typically, the nurses don't really ask for a report when we leave. They usually want to have the vital signs charted right away so they can fill out their paperwork. If there is an unusual vital sign (high or low BP/temp/resp, low oxygen), they will want to know right away and may want to recheck it or have you recheck it. All of this stuff will depend on your facility, and when you have orientation they will tell you how things operate. I wish I could be more specific.
  6. i_love_patient_care

    Old Fashioned Charting by Hand

    I worked for a hospital about 2 years ago that was still charting the old school way. Well, it was a hybrid I think, but am not sure on that one because I was in the registry. The nurses were very nice about helping me chart off my brain sheet if they saw me running around crazy to help them out.
  7. i_love_patient_care

    CNA's eating their young too!

    Even if you had finished your cert recently, it would still be overwhelming. Just do the best you can, and find buddies on every shift to help each other out. I wish I could say there was a simple solution. ((hugs))
  8. i_love_patient_care

    How do you get a job like this where you have lots of free time?

    I've done both. I actually stumbled upon being a sitter. I did about 1 year of work (CNA) in skilled nursing/long term care, and then got hired to an agency that staffs hospitals and nursing homes. The agency paid about the same as I was making in skilled nursing. Most of the time I was sent to hospitals as a sitter, and the PP is correct that you're not supposed to read or sleep while watching the patient. As far as I know, from previous replies to threads from nurses, those jobs are being phased out to cut costs. They will hire people who are not certified so the pay grade can be cheaper for the hospital. I actually liked being on the floor better than being a sitter in the hospital because the night went faster. Right now, after three years of bouncing between hospital work (agencies are a pain to deal with, most of the time for me), and skilled nursing, I ended up in home health. I love it! I can spend the time with my client that I always wanted to in facilities. There is way more downtime, and it's better on my body. Right now my client and family are extremely nice, and the pay is very good because they are paying privately. Recently my client had a UTI (chronic condition using catheters a lot), and so lost mobility during the hospital stay. The family is paying me to be at the rehab facility for a few hours per day, as a sitter, when the daughter isn't there. In my experience, during the night shift, it's unpredictable how much free time anyone can have. I used to study at night, but I wouldn't depend on having down time to study. Some nights can be like a three ring circus haha. Good luck. PM me if you have any questions if you need to.
  9. i_love_patient_care

    What do you look for in CNA classroom?

    I had a really awesome RN who ran the school I went to. She was very experienced (I think over 25 years of nursing experience), and taught us how to be well-informed, helpful CNAs. We not only learned what we needed to know to pass the exam/practical, but how to truly be a good team player and respectful of nurses in the workplace. I think what kept me awake in class, and paying attention, was her stories from real-life experiences of why we do things the way we were being taught. Teachers who are passionate about what they are teaching are the best. thank you for being a teacher
  10. i_love_patient_care

    Question

    I've been in work environments where people are of the "every man/woman for themself" mentality. I agree with a PP's point of view that we do need to split up when working with 1person assists. However, I've been in facilities (LTC/SNF) where the CNAs don't help eachother out with the Hoyer lift or people who should be a 2person assist. Then, when I would ask for help they would act like I was being lazy for not wanting to have a permanent back injury. I would have everything ready up to the point that I needed to go get help and people still had major attitudes. I think it's because people get used to not working as a team, and compromise the patient/their safety by "getting by". This is why I work in home health now.
  11. i_love_patient_care

    Mouth care:putting supplies away

    I'm not sure about NY, but for me in CA we don't throw the toothbrush away. It gets rinsed off and dried. Emesis bin, toothbrush, toothpaste, and mouthwash are stored in a plastic bag labeled with their name in the top drawer of the nightstand. If it's the toothettes, then ya it gets thrown out after care. If anything, check your textbook or ask the teacher. I personally made big flash cards to study the skills and had my family members help me study it by going through each step outloud, and they corrected me using the card.
  12. i_love_patient_care

    Clinical internship...what to expect?

    When I make rounds, I check every room to make sure they are clutter free (trashes also not overflowing) and the Resident/Patient is safe. If they need to be turned, they get turned, and briefs checked if in use. Make sure everything is in reach (call light, TV remote, phone, grabby thingy, etc..). Offer to help to the bathroom if they are being retrained in toileting. I check Foley bags to make sure they aren't getting too full. For fall risk patients, I check their position in the bed to make sure they aren't close to the edge or their legs/feet hanging off the edge. That's all I can think of at the moment.
  13. i_love_patient_care

    Residents with Cheesy-Smelling Hands

    For residents with contracted hands, we were trained to fold a washcloth or stack of dry wipes in half, roll it up and tape it, then put it in their hand to grab on to. It keeps the contracting from getting worse and also smells from developing. Check with the nurse who is in charge of the Resident first before doing that, though.
  14. i_love_patient_care

    Maybe this is just a vent post....Home Health

    It could be a number of things. The grandson could be stealing, and trying to put the focus on you guys instead. She could be losing her memory and blaming it on you. My own Grandma did that when her dementia got worse. We had to get a safe and give the code to a trusted uncle, and put all her jewelry and cash in it. Personally, I would just be upset about cleaning up after a family member's personal messes all the time. Once in a while is ok, but that isn't what you were hired for. I hope it gets better.
  15. i_love_patient_care

    What would you do???

    That is tough. She doesn't have a nurse or aide who know her well enough to tell you what works with her? Some people who have dementia have a better time of day that they are cooperative. Maybe try talking in a softer voice. Flat out saying refused isn't going to cut it with some family members. Maybe they can come in and say what has worked for them. That is tough. ((Big Hugs)) I hope it gets figured out soon for the Resident and your sake.
  16. i_love_patient_care

    This made me think today..

    An Old Lady's Poem, Anonymous This is the one that makes me cry every time. I think of it a lot while at work.