College Comp I
The Duties of a Certified Nurse Aide
A Process Paper
Being a Certified Nurse Aide (C N A) is an extremely rewarding experience. You discover a whole new side of yourself when you’re at work. It allows you to be able to handle many more somewhat disgusting situations by knowing that the person receiving this care is in need of it. This is due to the fact that they either can’t care for themselves or have a disease that inflicts limitations on their ability to know how to do it. That is the main reason I had ultimately decided to become one. Being a C N A is more than what most people would think most C N A’s do. There are many processes involved in the job that most people either don’t know about or would rather not want to know about.
The most important part of this job is the residents cleanliness and hygiene. How the C N A’s help with this is by creating shower schedules, changing linens, brushing teeth or dentures, taking them to the bathroom, regular check/cleaning of the genitalia, catheter checks/changes, shaving, and much more for each resident. These duties each have specific instructions depending on the residents likes/dislikes and your facilities regulations. For the most part shower times are set up for once a week depending on how continent (ability to use restroom controllably) the resident is, and how good the residents skin is. One thing you don’t want to happen is for your residents skin to start breaking down because of over/under showering. To perform a shower you must first set up your shower room, never begin unprepared so as to not leave resident unattended. If they have to have a special shampoo or soap you must have that as well. After your shower room is ready wheel a shower chair into the residents room and shut the door behind you, this provides privacy for the resident, then inform them it is time for a shower. You must then get the resident undressed and into the shower chair, a lift may be needed. Cover the resident with a sheet so they can remain discreet as you wheel them down the hallway to the shower room. Once in the shower room adjust the water to their likings, generally between 80-95 degrees. Make sure you use a washcloth to clean them entirely, if they are uncomfortable with you cleaning their “private parts” then you must let them do it for themselves. After the shower is complete dry them off completely and then apply lotion all over their body. Get them dressed in the shower room unless a lift is needed. If this occurs you must keep them in the shower chair and wheel them back into their room where they will be dried and dressed.
Linen changes will usually take place before the residents shower or when necessary. When the linens are changed between shower dates it’s usually because of blood, urine, feces, or any other hazardous substance is on the sheets. For changing sheets you must remember their bed is nothing like yours. It can be an air mattress, have foam supports, be very thin or thick depending on residents need of back support. You must never leave wrinkles in the sheets as this can cause skin to break down or become irritated. To begin the linen change you must gather a fitted sheet, top sheet, soaker pad (used for the incontinent residents who cannot control bowel/urinary movements), a single blanket, and enough pillow cases to cover all the pillows used in the residents room. When you have gathered your materials and are in the residents room you must inform them of what you are doing and if they are laying in bed you must ask them to sit in a chair while you change their linens. You will encounter angry residents who will fight this but you must be patient and inform them it is needed. After they are out of the bed or when you are ready to begin you must strip the bed and pillows and place all used linens in a bag that will be taken to the laundry room. The linens...