Our efforts to implement consistent assignments throughout the facility have run into some problems. Two of the neighborhoods have been experiencing nursing assistant (NA) turnover. Because we have open positions, the NAs are having trouble creating the assignment groups. I was aware that a couple of NAs had quit and I had to terminate one, but I wasn’t too worried because we’ve been able to fill most of our open positions. Working on this area has really shown that we need to reduce our turnover to make consistent assignments successful. Other projects in the past have been stalled when we’ve experienced staff turnover. I also realize how difficult it is for residents and families when they don’t see familiar faces among our staff—it’s like they are surrounded by strangers.
When I asked the NAs what they thought, I really got an earful! Some think our employee orientation isn’t preparing the NAs for the workload. Others mentioned some employees aren’t very helpful to new staff. When I reviewed out last employee satisfaction survey results, I see we didn’t score too well on staff orientation. This really got me thinking. What should I do next?