I am a CNA CMA,SSD, Bus driver & my role is AD. I see things from many different eyes . I had the same problem coming to a new facility. I had to build trust and get beyond that is the way we have always done it. I had to get all the staff but most of all the CNAs to help out to make a successful program. I started out giving a activity ticket for every resident brought to a activity at the end of the month who ever had the most tickets got a gift to show how much they was appreciated. When making my morning rounds I speak to each aid & wish them a good day, if I see they are having a bad day I have my happy hands massager & give out a short massage and tell them how much they are needed & what a good job they do. I respect that they have a hard job and a schedule they must also do. As shifts change I tell them Thank You for the help. I spend maybe 30 -45 minutes of my day this way but it saves me hours each day for I have built trust and respect the deserve. They come to me and ask who I need now and what is on the schedule. If I am out with a resident on appointments and can’t be in the building often a CNA will give up a break and fill in for me I am lucky to have a good team. I have a few volunteers, a part time person who helps me mainly with Dr., Hair Appointments & Run’s . I also have a very tight schedule with 1 on 1’s, MDS’S, & Care Plan’s it has taken me awhile to plan out and execute but some things that have helped me is : During report I tell the activities and is passed on to the whole team, during rounds I remind residents & CNAof morning
events ,Daily news with the residents at Breakfast, announce activity 30 minutes prior, after announce I start getting everyone going to the activity on time, I serve lunch also so then go table to table and remind residents of afternoon event’s. It’s not perfect but it has worked for me. I will say I can’t fit everything that is required of me in my day I still have trouble with time management I do volunteer work at home planning, shopping, newsletter, research, calendar I have a very understanding family. I do feel what we are all fighting for “Quality Time” for our residents will start coming our way when the new survey starts to hits our nursing homes in the pockets and see that a change is long over due more staff is needed. Sometimes it is easy to blame another department but they are not in charge of scheduling & budget’s all departments are having troubles meeting needs & requirements. I am always looking for a better way