I work in Unit 1 of the hospital. On a typical day working in the unit we have a Clinical Nurse Manager 1, four staff nurses and either three or four Care Assistants, one Household Assistant and one Catering Assistant and we have thirty six clients.
Work starts at 7.45am with the morning report, at 7.55am we assist clients who need help to sit up for breakfast and then we assist them to eat their breakfast. At about 8.45am we collect the dirty dishes and leave them on a table for the catering staff to collect. We then proceed to assist clients with their their toileting, washing and dressing needs, making beds and ensuring that clients are warm and comfortable for the day. Some clients go for physio and some are brought up to the hairdressers to get their hair done and some go up to the Activities Nurse to do activities.
Following a 15 minute break, we ensure we have all the clients settled for the day. Then we fill in their care plans and then bring the dirty laundry to the laundry and dispose of any waste. We then clean the client's bed tables and their lockers.
At 11.30am the clients get their soup, milk or tea whichever they prefer, we assist any client who needs help with their soup. At 12pm the clients get their dinner, again we assist anyone who needs help. At about 12.30pm we collect the dirty dishes onto a table for the catering staff and clean the bed tables and the table in the day room, then we assist clients with their toileting needs and assist clients who wish to go back to bed.
In the afternoon we continue to assist clients back to bed, or give care to clients who are in bed. During the day we make sure to give drinks to clients who are in bed or who are not able to take drinks themselves. If time permits we might bring clients for a walk around the hospital or if it was a good day out into the hospital grounds or garden.
We try and take time to read or write letters for clients who wish us to do this or to sit and talk to clients who are upset or just feeing lonely. At 4.15pm we start getting clients ready for their tea at 4.30pm, again we assist anyone who needs help to eat their tea. We collect the dishes after the tea and clean the tables. Some of the staff go home at 5pm and that leaves two staff nurses and two health care assistants on duty until 8pm.
During the evening we assist clients back to bed, give care assistance to clients who are in bed, put on televisions for clients in their wards, bring soiled laundry to the laundry and dispose of any waste. At 7.30pm we give extra supplements to clients who need extra nourishment and who can't take them themselves. At 8pm the night staff come on duty and we go home.