JCLF3

I have noticed some of the same problems at the facility that I work at. Especially the sleeping during the day, which in turn effects the amount of participation in their ADLs including meal time. Many of the residents who get up on 11-7 shift began sleeping during meals and requiring more encouragement which then effects their behavior by making them more agitated at staff. Part of the problem was due to the 11-7 CNAs getting their assigned residents up very early in the morning because they said that they didn't have time closer to shift change when they were doing their last turns and dries. And I mean very early, some were getting up at 2 or 3 in the morning, which I feel is way too early. To fix this we had to reduce the number of people they get up and require that the 11-7 nurse monitors closely that no one gets up before 6:00 unless requests. We've not had much of a problem with state on this issue since we monitor that they don't get up before 6 am, however we do have 3 CNAs to 42 residents with one nurse.