Introduction:I have worked as a CNA for 5 years now and have learned the in's and out's of the job and what makes the day more manageable. Unfortunately, there are certain things that are out of your control. These are the top 5 things a CNA does not want to hear:
I have heard this phrase four or five times throughout my years as a CNA. The first time I heard it I assumed it was a good thing, low census means less residents, less residents means less work, right? Boy was I wrong!
Low census basically seems to mean that the facility may be down by 10 residents, therefore, they are going to lower the number of CNA's on a shift from 10 to 7.
Let's do some math: If there were 100 residents originally and the facility loses 10 they are down to 90. This prompts the decision to switch the status to "low census" in order to make up for the revenue they are losing. They decide to lower the number of CNA's on a shift from 10 to 7.
This means that each CNA had 10 residents they were responsible for before. Now each CNA has 12.86 residents on average.
Not only has the work gone up, but the number of hours you are scheduled go down because they have to cut those 3 CNA's from somewhere.
In all the phrase "our census is low" means more work and less hours, and lets face it NO ONE wants to do that.
Being a CNA means you have to assist residents in doing a wide variety of things: dressing, eating, showering and yes, going to the bathroom. While this job does have its rewarding moments, lets face it, this is just not one of them. CNA's also have the responsibility of keeping track of each resident's BM for the nurses. It is important that it is kept track of because there can be serious complications if someone is not "going."
Generally if there are "quite a few laxatives given" it means 2 things:
1. At least one CNA did not mark their BM's at some point.
2. You are going to have a VERY long, messy night!
Now I remember staff meetings working in retail for 2 years. They went something like this:
-here is what is being done wrong
-here is what we are changing
-here is what you are doing right
-some type of thank you
CNA meetings have proven to be VERY different. In most cases all the CNA's are given a "sheet" which is actually a 4 page packet. Then the DON, ADON or (if its really serious) the administrator come in and the meeting goes more like this:
-here are all the things your doing wrong
-here are all the things we discussed in a previous meeting that are STILL being done wrong
-Now,since no one can follow current rules, HERE's SOME MORE!
-here are all the ways you will be reprimanded if you don't follow the rules.
-Last everyone is given the chance to question the boss about what has been said in the meeting, but make no mistake, you will not win.
This one doesn't sound too bad right? WRONG. Unless you want the overtime pay bad enough to work a 16 hour shift, you're not going to want to stay. Unfortunately, while one call off per shift can be managed, running 3 people short is just impossible. This means that at least 2 people are going to have to stay and work at least part of the next shift...Let me tell you, you do NOT want to draw the short straw for this one!
New admits are unavoidable, if there are not any new admits then we are back to the low census problem, however, new admits are also a LOT of paperwork so getting multiple new admits on one shift is overwhelming. Not only do you have to do all the vitals, inventory, and assist the nurse with her assessment, but you also have to make the family comfortable with leaving their loved one in a long term care facility. Another problem with new admits is their very unpredictable behavior. They may be fine while the family is there, but the minute they leave the resident starts screaming and throwing things.
While behaviors are a part of long term care, after working with the same residents for 40 hours a week we CNA's learn tips to keep them calm. For one person it may be chocolates, another it may be a back rub, a phone call to family, or a number of other things that calm that resident down. With a new admit, you don't know them well enough to know what to do to help them adjust.
select one here...