CNA Workload

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It seems like there are never enough hours in a day for a CNA to accomplish what he/she needs to do. And, more and more, CNAs in my facility are being asked to do what, in times past, would have been considered the work of the nurses on the unit.

What you see below is what an average day's schedule is on the unit where I work.

7:00-7:05: CNAs set up their linen carts with linens, supplies, etc.

7:05-7:30 CNAs do AM care and toileting for early-rising residents, answer call lights, etc.

7:30-7:45 Receiving of report from the previous shift.

7:45-9:00 Prep and passing of breakfast trays to residents (In my facility all residents eat breakfast on the unit.), feeding of residents unable to feed themselves, breakfast tray pick-up and post-breakfast cleanup.

9:00-10:45 Resident AM care and toileting, transporting residents to in-house appointments with podiatrist, dentist, eye doctor, hairdresser or barber,etc. Repositioning of residents still in bed every two hours.

10:45-11:00 Transport residents to exercise class in the downstairs dining room.

11:00-11:30 Half of the CNA staff takes their lunch break, leaving 2 CNAs on the floor to complete AM care, toilet residents, and distribute clothing protectors and tray tables for those residents who eat on the unit.

11:30-12:00 The remaining CNAs take their lunch break while the others transport residents to the dining room, prep and pass early lunch trays, and feed residents.

12:00-12:45 Prep and passing of lunch trays, feeding residents, lunch tray pickup, and post-lunch cleanup.

12:45-1:30 Fan-folding of residents, and putting residents who nap into bed.

1:30-3:00 Toileting of "walkers", bed checks (P Run) for residents who are bed, resident room clean-up, filling in of OS books, and giving report to the charge nurse on the unit.

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Many times, in the midst of a busy afternoon, in addition to the normal duties, the CNAs are asked to administer enemas, transport some residents to afternoon activities elsewhere in the facility, attend mandatory in-service programs, etc. While we understand that all of these things are important to the resident, it makes the pace of the day very hectic.

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CNA Badge

7:00-7:05:	CNAs set up their linen carts with linens, supplies, etc.
7:05-7:30	CNAs do AM care and toileting for early-rising residents, answer call lights, etc.
7:30-7:45	Receiving of report from the previous shift.
7:45-9:00	Prep and passing of breakfast trays to residents (In my facility all residents eat breakfast on the unit.), feeding of residents unable to feed themselves, breakfast tray pick-up and post-breakfast cleanup.
9:00-10:45	Resident AM care and toileting, transporting residents to in-house appointments with podiatrist, dentist, eye doctor, hairdresser or barber,etc. Repositioning of residents still in bed every two hours.
10:45-11:00	Transport residents to exercise class in the downstairs dining room.
11:00-11:30	Half of the CNA staff takes their lunch break, leaving 2 CNAs on the floor to complete AM care, toilet residents, and distribute clothing protectors and tray tables for those residents who eat on the unit.
11:30-12:00	The remaining CNAs take their lunch break while the others transport residents to the dining room, prep and pass early lunch trays, and feed residents.
12:00-12:45	Prep and passing of lunch trays, feeding residents, lunch tray pickup, and post-lunch cleanup.
12:45-1:30	Fan-folding of residents, and putting residents who nap into bed.
1:30-3:00	Toileting of "walkers", bed checks (P Run) for residents who are bed, resident room clean-up, filling in of OS books, and giving report to the charge nurse on the unit.