Wednesday, April 14, 2010

More CNAs to provide better long term care

I remember when I first started working as a CNA, I had 10 patients with 7 of them needing complete total care. We start working at 7 am and half of the resident should be up by 8am for breakfast. The work was neverending. I left work that day after 5 when I was suppose to leave at 3 and did not get one break to sit or eat the whole day. To me it is nearly impossible to wash a resident in bed ( or shower), dress them, do oral care, do their hair, transfer to chair, and clean room all in the span of 15minutes! Although it is possible to do all these things, but as a result the resident will not get the proper care. Something will be left out in trying to rush things. All the daily tasks that are missed can potentially affect the resident's health in a negative way. For example not doing proper perineal care can lead to a urinary track infections or bad oders.
I use to think that the shortage of cnas available had to do with the high turnover rate and a lack of people working as cnas, but being on the other side I see that almost everyday cnas are being reduced and the minimum amount of workers are kept even when there are no empty beds. At the end of the day you end up with tired, overworked, cranky cnas and the next shift comes disorganized rooms and wet patients. There needs to be a change made to improve the working conditions of cnas which will enable them to provide better quality care to the residents.
Administrators and staff must work together to improve the quality of care given in nursing homes. It is very easy to blame the cnas and accuse them of neglect for not answering call lights in a timely manner or not changing residents on time. Many people fail to understand that most of the cnas want to do a great job but you can only do so much when you're one of a few cnas working to take care of 60 people needing help to do everything. Residents need more quality time with their cnas and cnas in return need more support and time to do their jobs well. The solution to this problem can only start with healthcare administrators along with staff workers fighting to make some improvements to the situation.

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