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Missingyou CNA

Long term care
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Missingyou has 20 years experience as a CNA and specializes in Long term care.

Missingyou's Latest Activity

  1. Missingyou

    CNA's always on their cell phones

    At the LTC I work at, you will NEVER see a cna on their cell phone.....EVER. That's because if we are caught with a cell phone or any other electronic device while on the schedule we will be fired on the spot. No warning. We don't even have to be using the device. If it's spotted on us, or even heard ringing while in our locker, we are done. We can leave our phones in our cars & check them while on our lunch breaks only. If someone needs to contact me, they have to call the facility, just like they did in the olden days. Works like a charm...and we are one of the top facilities in the entire state.
  2. Missingyou

    Overwhelmed, inexperienced CNA advice

    OMG. Run, don't walk from that place! First, 13 patients should have been about your max amount. If there is no care plan on the patient to outline the care needed, you should not be giving care as it puts you & the patient at risk in so many ways. You should NOT be transferring patients alone especially if it is not clearly documented on HOW it's to be done (1assist, 2 assist, mechanical lift, etc.). Clearly this facility is in desperate need of CNA's which is why you were thrown in without training. Do NOT work another shift without at LEAST 3 days of training. You can bet that if something happens, a patient falls, family complains, you will be responsible. They WILL throw you "under the bus" to protect themselves....guaranteed.
  3. Missingyou

    New and feeling discouraged (vent)

    LTC is very busy. I forget things too & I've been doing it for more than 20 yrs. I have a notebook & sometimes I forget to look at it! It takes time & practice & it takes longer than 3 months. You need to get to know the people you take care of. What works for another CNA May not work for you. This resident may not like you for no good reason other than you are new. Do your best, it's all you can do.
  4. Missingyou

    Got a coaching write up and being eye balled

    If you worked 4.5 years at a hospital without complaints of your work, & now you suddenly have issues tells me that your new co-workers are probably pretty stressed out & taking it out on you. They are not being supportive of you getting used to a new routine at a new facility. It will be very difficult for you to change their minds. No matter how hard you try, they will always find fault with you. If you fix the "not taking initiative" problem, there will be something else, too long of a break, not communicating,....etc. It happens sometimes. I'd go else where or try to go back to original hospital, maybe as contingent or different unit so you can get your classes done.
  5. Missingyou

    Why do RNs choose to work in nursing homes?

    I choose to work in LTD because I get to know my residents, can predict their needs, know what works & doesn't work for them. Most importantly, I learn about the person, connect with them & really feel like I'm helping & making a difference....which is what I signed up for in the first place!
  6. Missingyou

    CNA termination

    In a situation like a hip fracture I try to plan brief changes around Times when pain meds are well in their system rather than when they are almost due for them. Get good at tucking the brief under the person. If you tuck well enough you won't have to roll them, or will only have to roll once to clean. Unfortunately, there are times when there is no way to avoid some amount of pain. You just have to plan to minimize it.
  7. Missingyou

    Feeling Frustrated

    Well, it may not seem right to take the pendant away from her if she plays with it or constantly turns it on but, think of it this way, the boy who cried wolf too often was eventually ignored. By having regular visual checks th ere is no risk of her needs being ignored.
  8. Missingyou

    How Much Experience is Enough?

    No harm in trying! I've heard generally 6 months long term care experience. I've also heard of cna being hired directly out of training. Like the poster above said, it just depends.
  9. Missingyou

    Air fresheners making exam room smell worse? HELP!!

    I use those small spays that you find at Wal-Mart in with the candles. There are various scents and cost around $2. One squirt is plenty and not over powering. I must warn you tho, if you use the Apple pie or other favorite scent, eventually it will for ever remind you of the exam room whenever you smell it.
  10. Missingyou

    Online CNA Classes?

    Never heard on cna online classes. Most states require some hands on clinical training. You will also have to pass a state test for certification. You will have to pass training to vet the ok to test.
  11. Pay attention t those who are being kind and offering helpful advice. Ignore those who scold you for things that go against your training and instinct. You may even have to speak up for yourself. A simple " I got this, thank you" will probably be enough. If she reports you for passing out trays before assisting someone to the toilet, she will be the one to look incompetent, not you. Keep doing what you're doing. Speed will come with time. Pick an choose your battles. To be honest, most of us who work in long term may say we toilet / turn every 2 hours but, that is usually not the case. Sometimes it's 3 hours....sometimes, if they aren't soaked or have a BM, we just turn & change them once we get the more in need people done. ...We just don't talk about it. You may have to fling a bed together (or not at all), or put off other non resident care tasks unroll you can get your speed up. Don't be hard on yourself. It takes time. Use your better judgement. Ignore the "scolding unless it comes from your nurse.
  12. Missingyou

    started new job

    Don't be So hard on yourself. You are learning. Your co-workers know that. You WILL make mistakes, it's part of learning. Just pay attention and always think of patient safety. ....wait, ONE patient!?
  13. Missingyou

    Certification Expiring Soon

    I'm pretty sure it has to be paid employment. Usually, as little as 8 hours is enough. Sign up with a home care agency. The hours are more flexible, you can work just 2hours at a time or a weekend or holiday to get the hours in. You may find you can take one client working a 2 hour shift on a weekend until you get the required hours in. You should really check with your state and see what is required.
  14. Missingyou

    Feeling Frustrated

    I've never seen these pendants your talking about but, I do know that someone with dementia probably would play with it not knowing what it's for. I wonder if labeling it somehow is doable? Even just a tag on it saying "help" or something like that. If they take the pendant away, maybe you can make checks on her on a regular basis. The nursing home I work in would require visual checks every 15 minutes on her so that you can meet her need before she calls out. If we can can do it in a LTC facility, it's doable in assisted living.
  15. Missingyou

    CNA: Nursing Home to Home Health...a wise move?

    Home care pros: One on one Usually easy care. Less physically demanding but, not always. If you are in school, sometimes there is study time. Flexible schedule You often spend more time cleaning house than changing briefs. Cons of home care: No guarantee of hours Some homes can be scarey to be in You are in someone's home & it can be a. Real challenge sometimes to do things as they expect in regards to cleaning... You spend most of the time cleaning house and not using your skills as a CNA. You can end up putting alot of miles on your cad & not necessarily get reimbursed.
  16. Missingyou

    CNA termination

    When I orientate a new CNA, I always tell them there is the way you learned in class & then there is the real world. There are short cuts you MUST take in order to get decent care done for all your residents. That doesn't mean you risk safety or infection control. Learning these ways comes with time & watching other aides. It's also something that you probably won't hear us talking about....you just do it out of necessity. When I first started, I wanted to be all the things we were taught in class. ...you just can't though. Kind of like having to pick & choose you battles. You have to prioritize each need. Sometimes it's a very hard choice to make. There are good aides & nurses and not so good ones. Don't worry about what they are doing. Just do your job the best you can. By all means, report any abuse or neglect but do it through the proper method. If you feel everyone is doing it wrong, being lazy or rude or whatever. Be different. Be the example. Be there for the residents, not the other employees. I think it will take you a good month to get settled in a comfortable rhythm. I don't think you being fired for this last incident will make it hard to find another job but, be prepared to answer the question as to why you left your last position. Include in your answer what you learned and how you will make sure it never happens again.
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