Long-Term Care

Insight Into Management

LTC Nursing Assistant Trainer, October 13, 2005

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The relationships between CNAs and their managers are some of a facility's most critical, so it is useful for CNAs to understand how managers work and how managerial decisions are made. A manager copes with day-to-day crises in addition to long-term planning, and is charged with keeping the facility running as smoothly as possible.

In order to think like a manager, consider how you, as a CNA, would react to some of the following situations. Often, managers must deal with these sorts of scenarios every day.

  • How would you go about hiring CNAs? What is the best way to determine whether someone will provide quality care?
  • What ideas do you have for hanging on to good staff members?
  • As you make your daily rounds, you notice that many residents may not be receiving adequate mouth care. How do you handle this situation?
  • You sense that staff morale is low, but no one has mentioned any specific problems to you. How do you find out whether you are correct?
  • On two separate occasions, you notice a dirty toilet in a resident's bathroom, so you mention it to the CNA who worked there. He or she says that the care provided that day did not require using the bathroom. How do you handle this problem?
  • A CNA who is regularly scheduled to work an evening shift on the weekends frequently calls in sick at the last minute. What do you say to him or her?



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