Be In the Know!

If you are looking for more ideas to spice up your 2010 inservice schedule, consider presenting the following topics:

1.  Review the Normal Aging Process

During their short initial training time, nursing assistants learn a few basics about the human body. However, in order to enhance their observational skills, it’s good to provide more details about how humans age. Try presenting the information by body system. Talk about the lifestyle choices that slow aging and those that speed it up—and remind your CNAs how they can help their elderly clients enjoy a good quality of life.

2.  Discuss End of Life Care

To be outstanding, CNAs should be able to handle the full spectrum of life, including the dying process.  Give your aides information on the end of life, such as how to recognize symptoms that signal death is near, how to provide comfort for dying clients and their families and how to care for the body once death has occurred. Consider including information on death and cultural diversity and the stages of grief.

3.  Brush Up on Mouth Care

Top-notch CNAs understand the importance and benefits of good oral hygiene and how it can affect not just the quality of their clients’ lives, but also their overall health. How about presenting an inservice that goes beyond the mouth care protocol for your workplace? Give plenty of tips for performing oral hygiene, dealing with dentures, and observing for oral and dental problems.

4.  Delve into Basic Human Needs

To enhance your nursing assistants’ sense of empathy, give them an overview of Maslow’s Hierarchy of Needs. During the inservice, review the five levels of basic human needs, how the levels relate to each other and how illness affects a person’s place in the Hierarchy. With a greater understanding of what makes people “tick”, your aides will excel at providing holistic, client-centered care.

5.  Talk about Cost-Efficient Care

While cost-efficiency is always important in health care, it’s especially vital in today’s economy. Plan an inservice that provides practical tips for how nursing assistants can save money throughout their daily client care.  Be sure to cover how to minimize waste and how time management, healthcare associated infections and medical errors affect the bottom line. Top-notch CNAs know that saving money today means better working conditions tomorrow!

These are just a few ideas for rounding out your inservice offerings.  At the same time, you’ll keep your nursing assistants interested and be on your way to developing a team of top-notch CNAs!

Happy Teaching,

Linda

Linda Leekley BS, RN

Chances are, you have presented inservices to your CNAs on the typical topics: standard precautions, confidentiality, nutrition, pain management and dementia. Without question, these are all necessary inservices for nursing assistants.

However, to develop a team of top-notch CNAs, it’s important to go beyond what is necessary or mandated. Coming up with pertinent topics can be a challenge when you’re trying to fit inservice education into your already busy schedule. Here are 5 ideas for inservices that will get your nursing assistants thinking outside the box—and, in turn, have a real impact on the quality of their client care.

1.  Teach Your CNAs about Being Assertive

Why?  Because top-notch CNAs are assertive people. They understand the difference between communicating passively, aggressively and assertively. They use their assertiveness skills to deal with difficult people and challenging situations. And, because they respect the rights of others without ignoring their own rights, they are excellent team players. Consider presenting an inservice that includes a “personal assertiveness assessment” so that your nurse aides can gauge their current communication style.

2.  Examine Conflict in the Workplace

On-the-job conflict exists in every health care organization, so how about teaching your CNAs how to deal with it? Provide them with practical tips for resolving conflict. Be sure to cover the dangers of gossip and bullying in the workplace and how they can handle conflicts with supervisors and clients. Armed with this information, your CNAs will focus less on “workplace politics” and more on the needs of their clients.

3.  Discuss Maintaining a Professional Distance

One of the toughest things for anyone in nursing is to provide TLC to clients without overstepping professional boundaries. A top-notch CNA knows the difference between personal and professional relationships and can spot the warning signs that professional distance has been lost. Giving an inservice on this issue will help your nursing assistants be caring without veering from the plan of care.

4.  Promote the CNA/Nurse Relationship

In the same way that the relationship between nurses and physicians continues to evolve, so does the relationship between nurses and nursing assistants. Outstanding CNAs understand the importance of delegation, assertive communication and mutual respect. They know how to give a great report, how to make the most of their performance review and how to work together with nurses as a team. Consider presenting this information to your CNAs and your nurses for a real boost to nursing teamwork.

5.  Practice Time Management Skills

Why are some CNAs better than others at completing their work on time? Nursing assistants who strive for excellence have learned how to avoid time wasters like procrastination, a lack of focus and a negative attitude. Help your CNAs become time savers by teaching them about setting goals and priorities and providing them with practical tips that help them work efficiently—whether they work in a facility or in clients’ homes.

Try incorporating a few of these topics into your current inservice schedule and see what happens.  (If you’d rather not “reinvent the wheel”, give us a call at 877-809-5515 or visit our store.  We have inservices on all of the above topics.)  Remember…when inservice education goes above and beyond the norm, it spurs critical thinking, enhances the quality of client care, and encourages professionalism on the part of your aides.

Happy Teaching!

Linda

Linda Leekley BS, RN

It’s a new year…and time for a fresh look at how you present your CNA inservices.  Are you making the most out of your inservice meetings?  Do your nursing assistants come away from your inservices knowing more about their clients and excited to put that new knowledge to use?  If not, here are a few quick tips to help you develop a top-notch team of CNAs in 2010:

Convey your passion for nursing during inservice presentations. If your nursing assistants sense that you are excited about client care, they are more likely to be enthusiastic, too.  On the flip side, if you seem bored while presenting inservice materials, your CNAs are likely to be bored by you and the inservice!

Help your CNAs bridge the gap between learning and doing. It’s great to present an inservice full of important facts, but how does that information translate to the “real world” at your workplace?  For example, you can teach your nurse aides that they should observe for the signs and symptoms of depression, especially in older clients.  But, what do you want them to do with their observations?  Go beyond the facts and have your CNAs practice documenting and/or reporting their observations.  Get a discussion going about what resources are available if a client is depressed.  By thinking outside the box, you’ll do more than teach; you’ll develop CNAs who think critically and follow thoughts with actions.

Listen when your CNAs voice their opinions. Some of your nursing assistants may have worked in health care longer than you have!  Show them that you respect their experience by encouraging them to voice their opinions about client care.  For example, you may feel like “tuning out” when an aide says, “In my previous workplace, we did it this way.” Instead, take notice.  Ask the CNA what makes the “old way” better.  This opens a discussion and creates an atmosphere where you both might learn something.

During your inservices, make use of real-life situations—with the names concealed or changed to protect client confidentiality. For example, when teaching about diabetes, prepare an example of a current or former diabetic client.  Give a scenario that calls for action from a CNA and ask for suggestions as to how they would handle it.  As you discuss each response, relate it directly to the information in the inservice.

Have a system for following up. To ensure that your aides retain what they learn during your inservice meetings, come up with a simple way to “test” them on what they know.  For example, at each inservice meeting, start out by asking three or four key questions about last month’s topic.  Offer a small prize or treat for the right answers.  This will ensure that your CNAs come prepared to answer your questions!

How do you make the most of your inservice meetings?  Do you have some tips to share with fellow educators?  We’d love to hear from you.  You may make a comment below or email me at lindaleekley@knowingmore.com.  Thanks!

As a nursing supervisor, you know that your nursing assistants must meet their annual inservice requirement.  In most states, this is a minimum of twelve hours of inservices per year—although that number jumps to 24 in some states.  But, how do you make the most of the time you spend on CNA continuing education?  How do you ensure that your inservices are helping to develop top-notch nursing assistants?  And, what do surveyors look for when they review inservice records?  Here are four basic guidelines that will keep you on track:

• Any inservice you give should contain “portable” information.  This means that the knowledge your nurse aides gain must serve them in any job—not just at your workplace.  For example, if you review how to take blood pressures and instruct your CNAs on the importance of documenting vital signs, that’s an inservice.  Your nursing assistants can put that knowledge to use no matter where they might work in the future.  But, if you pass out a new vital signs flow sheet and teach your aides how to fill it out, that knowledge is workplace-specific and would not count as an inservice.

• Inservices should consider the learning needs of your CNAs.  Have you asked your aides lately what topics they would like to learn more about?  Have your quality improvement studies uncovered a “weak area” that needs attention?  What about annual performance reviews?  Are there specific issues on which you should focus to ensure quality client care?  It’s not enough to pick twelve topics each year that sound interesting.  Surveyors want to see that your education plan targets specific, identified learning needs.

• When planning your inservices for the year, you also need to take your clients into consideration.  Do your aides have the knowledge they need to care for their clients?  For example, if your CNAs work with a large number of diabetic clients, they should be well-educated about how diabetes can affect their daily work.  They need to know the signs of hypo- and hyperglycemia; what a diabetic client should be eating; how exercise affects blood sugar levels…and so on.  Because Alzheimer’s disease and other dementias are on the rise, many states require an annual inservice on how to work with cognitively impaired clients.  Be sure to analyze your client population and take their needs into account as you create next year’s inservice calendar.

• Make sure that a registered nurse oversees all CNA inservice training.  You may enlist the help of office staff, therapists, LPNs, CNA preceptors or guest speakers, but the overall responsibility for inservicing your aides must fall on an RN.  To satisfy state surveyors, your CNAs must be made aware of which registered nurse they can go to if they have questions about what they are learning.  And, that nurse has to be available, either by phone or in person.

Your nursing assistants play a vital role within your nursing team. Let’s face it…they probably deliver up to 80% of the hands-on client care! When you consider that aides have the least amount of pre-employment education of any clinical employees, it’s clear that their ongoing on-the-job training is crucial.  By following these four guidelines, you will be on your way to giving your CNAs the continuing education that they deserve.  When you make each inservice count, your team, your clients and your organization all reap the benefits!

If you’d like assistance in planning your 2010 CNA inservice calendar, feel free to contact me at lindaleekley@knowingmore.com or by calling our In the Know offices at 877-809-5515.

Happy Teaching,

Linda

Linda Leekley BS, RN

Are you constantly trying to think of fun and creative ways to present information to your nursing assistants?  There is a great website called “Puzzlemaker” that will create puzzles and games for you.  And best of all…it’s free!

Puzzlemaker allows you to create and print customized word searches, criss-crosses, math puzzles, and more—using your own word lists.  This is a great tool for spicing up your in-house inservices.  (All of our In the Know inservices include interactive games and activities…and word searches are just one of the fun ways we reinforce learning.)

Visit the Puzzlemaker website and start making your own puzzles for your next inservice training!

Happy Teaching,

Evan

At In the Know, we believe that lifelong learning is the key to both professional and personal success.  But, this isn’t just a meaningless mission statement stuck in a frame and hung on the wall.  Instead, it’s a way of life at our company. As the founder of In the Know, I created an atmosphere that encourages learning for each employee.

For example:  we have an In the Know library, filled with books relating to a variety of subjects—especially (but not limited to) health care.  Every employee has two hours of “library time” each week.  While they are encouraged to select reading material from the company library, they are free to read whatever they like.  The only “rule” is:  If you come across a great idea or are inspired by something you read, please share it with your coworkers.

What’s the result?  My employees and I are always reading, reviewing and researching…on a constant quest to continue learning.   Every day around our offices, you are likely to see a couple of excited employees huddled over a headline or hear someone say, “Wow…listen to what I just found out!”  New ideas are valued and it makes for motivated employees who enjoy coming to work.

How are things at your workplace?  Do you think your CNAs are inspired by you to add to their knowledge base and/or expand their skills?  At inservice time, do they sense your excitement about the topic at hand?  Do your nursing assistants know they can come to you for more information about a specific client care issue?

If you would like to promote lifelong learning among your aides, try sharing a few of these tips:

Instead of a “to do” list, keep a “to learn” list. Encourage your CNAs to jot down any learning needs they have.  For example, do they want to know more about diabetes, pressure sores or time management?  Put them on the list.  Would they like to learn more about quality improvement, patient rights or ethical issues?  They get added to the list, too.

Keep your eyes open! Suggest that your CNAs observe a coworker whom they admire.  A lot can be learned by watching, especially when you observe people who are really good at what they do.  Some of their habits may rub off!

Practice what you learn. Knowledge by itself is great…but it takes on real value when it is applied.  Share with your CNAs how you put new knowledge to work for you on the job and suggest they try the same thing.

Show others how it’s done. A great way to learn is by teaching others!  Ask your aides to help train new employees.  Or, each time you hold an inservice meeting, ask a different CNA to help lead the meeting.

Learn in groups. If your nursing assistants complete their inservices as self-study modules, suggest that they work together in groups of two or three.  They can bounce ideas off each other and, as a result, learn more than they would “going solo.”

Think outside the box. If your CNAs stick to the exact same routine every day, they may go on “autopilot” and stop learning.  Encourage them to switch things up a bit—as long as it doesn’t interfere with a client’s needs or rights.

Make learning a priority. The motivation to keep on learning has to come from within. Show your CNAs that lifelong learning is a daily habit for you and they may decide to make it a priority in their lives, too.

Do you have tips that have helped you create an environment of learning?  Please share them with us…we’re always open to learning new things!

Take care,

Linda

Linda Leekley BS, RN

President, In the Know

There is an old saying that managing employees would be so much easier if it were not for the people!  Of course that is not true for the most part, however, supervising employees can be a stressful job.  When you factor in different personalities, work ethics, unavoidable outside forces, client care, it is a wonder anyone does it!  Below are several tips on how to supervise effectively (and not make yourself crazy in the process):

• Communicate clearly.  Almost every “issue” in the workplace is caused or exacerbated by someone’s communication that is unclear, too late, too early, non-existent, etc.  Make sure your message is clear by communicating your organization’s vision and goals, and guiding others to accomplish them.

• Listen!  Take the time to truly listen to your employees.  Learn to listen twice as much as you talk.  One of the first signs of an organization in trouble is that communications break down. Err on the side of too much communication, rather than not enough.

• Prepare! Nothing can create a more peaceful workday than having everything well-organized.  Figure out what is not in place, fix it, and make it work for you.  If you are not the organizing type, get a co-worker’s help.  They will feel flattered and you will benefit by being better prepared for each day.

• Prioritize! Recognize what is important from what is urgent. As you well know, in healthcare, nothing is ever predictable.  Expect the unexpected.

• Address issues as they arise.  Convey performance issues as they occur.  It is not fair to the rest of your employees or clients if someone is falling behind in job performance.  Be specific about what you saw that you consider being a performance problem.  Follow your organization’s steps for performance counseling and address issues accordingly.

• Praise accomplishments. Take the time to recognize acknowledgments.  Saying “thank you” goes a long way in making a good nursing assistant feel appreciated and valued.  Write a handwritten note, or provide a treat such as a pizza party.  Your nurse aides work hard and deserve to have some occasional fun.

• Recognize your own signs of stress. Take care of yourself so you can take care of others.   Health care professionals experience a particularly high level of stress.  You are both a manager and a caregiver.  Pay attention to your stress level, and know when to “time out.”

How do you “survive” being a supervisor?  What tips do you have for being an effective leader?  Please send your comments along.  We would love to hear from you!

Happy Teaching!

Linda Leekley

Back to "School" for CNAs

Summer is almost over and thousands of children and adults are headed back to the classroom for another year.  As for many teachers and professors, providing informative and interesting educational materials can be a challenge for nurse supervisors.  Researching topics, creating inservices and handouts…how do nurse supervisors keep learning interesting?  Below is a list of ten of our favorite tips that we believe can enhance your CNA education program:

• Do use the information from your CNA evaluations to determine what topics to cover.
• Do plan ahead!  Map out your inservice topics for the year in advance.
• Do find a local health care professional who would be willing to present on a topic they know.
• Do solicit a different nursing assistant to help teach each inservice.
• Do choose a theme for each inservice, and have goodies that you can give away.
• Don’t choose topics that are not relevant to your nurse aides and their clients.
• Don’t forget your CNAs who do “self study.”  Make sure you follow up with them in person to discuss the inservice.
• Don’t just lecture or read from the inservice material:  imagine if you were in the audience!
• Don’t forget those CNAs who can’t make it to the inservice.  Make sure you review the material with them verbally.
• Don’t talk down to your staff.  They are professionals just like you.  Many of them have decades of health care experience.

We hope the above tips add a zing to your CNA continuing education program so your nursing assistants can start this fall on the right foot…and with renewed energy!

How do you keep your nurse aides engaged in their continuing education? What teaching tips do you have to share?  We would love to hear from you!

We all know that ongoing education leads to reduced turnover and greater job satisfaction. Not to mention that

Do your CNAs retain knowledge from inservices?

continuing education is a yearly requirement for nurse aides! But, how do you know the information you provide to your nurse aides “sticks?”  Here are some staggering statistics regarding adult learning retention. Over a period of three days:

• Adults retain 10% of information that is read
• Adults retain 30% of information that is seen
• Adults retain 50% of information that is seen and heard
• Adults retain 90% of information that is said and done (applying learning to real life situations)

Many factors affect adult learning retention including age, level of prior education and motivation.  In some of our previous posts, we have given you ideas on how to motivate your nurse aides by keeping education fresh and interesting.  Below are some additional strategies your organization can take with continuing education to ensure that your nurse aides actually retain the information you are giving them.

• Touch upon a medley of learning styles – As you know, our inservices may be used in a group setting or as self-study modules.  If you choose self-study, perhaps get the group in a few times a year to interact in team activities.
• Encourage nurse aide participation – If using the self-study option, set aside time to address any questions your nursing assistants may have regarding the inservice material. If using group participation, use real-life situations, etc. to stimulate discussion.
• Use variety – Adding visual aides to reading material, such as PowerPoints, greatly enhances learning retention.
• Use active learning – Group discussions and activities, problem solving activities that involve critical thinking skills, games, etc. all lead to greater learning retention.
• Review job performance – Check for retention by making sure your caregivers are applying what they have learned to their responsibilities.  Give continuous feedback and address any issues as they arise.

What do you do to make sure your nurse aides retain the information you share with them? Please share any tips and suggestions with us.  We would love to hear from you!

As you are well aware, a nurse aide’s job can be quite stressful.  Being on the frontlines of client care is tough!  Most nursing assistants are not fully prepared for the challenges that lie ahead on a daily basis.  As a result, job burnout and quick turnaround of CNAs are very real problems being faced by many administrators.

One way to help reduce the stress felt by your nurse aides is to implement a relaxed (but professional) continuing education program.  Here are some ideas for doing just that:

Home Study…Having the flexibility to study the material from the comfort of home is a great option.  With In the Know inservices, you have the freedom to make as many copies as you need (within your single facility) of the inservice topic.  You can send the learning materials home with your aides.  (If you have email addresses for your CNAs, you can also simply email the “learner’s section” of the inservice to each of them.)  All you’ll have to do is grade and file their quizzes!  This method allows your CNAs to complete their necessary continuing education at their own pace.

Grab a Partner…Allow your aides to partner up (or assign them a study partner).  Most of the time, having to work with someone else creates a higher sense of accountability.  Working as partners also fosters teamwork, promotes problem-solving skills and gets your CNAs talking amongst themselves about the learning materials.  They can think out loud, share ideas and learn from one another.

Take It As It Comes…Another idea is to create a library of inservices that is accessible to your CNAs during their work hours.  Develop a “sign up sheet” (or use the one provided by In the Know).  Then, allow your nurse aides to complete the inservices at work “on the clock” as time allows. Not only will you have more time for other aspects of your job, but your aides will feel like they are in control of their own learning.

With a flexible inservice plan, you’ll head off burnout and CNA turnover at your workplace.  For more information, give us a call at 877-809-5515.

Do you have any different methods for inservicing your CNAs that you’d like to share?  We would love to hear them!