A Day In The Life of a PNA
A Day In The Life of a PNA
Preparing for the days ahead
The evening before the start of our four-day working stretch, we receive a handover from the current team who are on shift, with a full breakdown of each patient & their needs and requirements for the next day. This is very important to ensure that all patients receive continuity of care at all times. We then liaise with our partner as to where we will meet in the morning and which order the patients will be seen. All our patients are important to us; however, we prioritise diabetics, people who live alone and the vulnerable.
Working in teams is an important part of Hilton’s standards, as we support each other at all times and are able to deliver an excellent standard of care without being rushed – we are not a timed service.
A welcome arrival
Our assessment begins from the moment we enter a patient’s home. We always knock on the door and call out, so as not to alarm anyone as we enter their premises. Before any tasks are under taken, time is given to talk to the patient about their requirements; this ranges from personal care, to medication, to just having a cup of tea before getting started.
Every day with a patient is treated as a new day, so we never presume that what happened yesterday is the same today. As an assessment team, we are constantly giving encouragement and understanding with every task that is undertaken. Consent is always gained & dignity is maintained at all times too.
Our communication notes will give an accurate reflection of the duration of the patient call. We will make notes on the well-being of the patient, nutrition, hydration, if personal care was achieved and how; for example, Mr. P independently washed his face and hands, encouraged us to wash the top half his body and gave consent to wash his back.
Patients are in our care for up to five days. Some of our patients have three or four calls a day, but most tend to have a morning and afternoon call. On day three, a recommendation is discussed between the assessor, the patient and ourselves to see what the next steps will be. On day five, our aim is to sign off the patient with no ongoing needs, however this is not always possible. Patients may be referred on to Keah, with the likelihood that their full state of health will be returned within three to six weeks. If it is evident that this would be unlikely, then a package of care will be put into place.
On hand to help
Throughout the day, we communicate regularly with the hospital and our community assessors, regarding new patient discharges and other updates. Plus, we can give other teams support if needed.
Hilton staff are also able to arrange for a doctor or district nurse to visit the patient if needed. Medication can be collected from a pharmacy too, especially if something new has been prescribed and family are unable to collect it. Many of our patients often need their shopping topping up, so we make a list with them and take an agreed amount of money. On our return with the shopping, we return the change and receipt and ask for a signature, which is then uploaded to their file. We often find that patients like takeaway fish and chips on a Friday, so again, we can collect this for them using the above method.
Prior to joining Hilton, I was a carer in the community. Although I enjoyed my job, I was very frustrated at not being able to spend time with the patients and give them a quality of care which everyone deserves to receive. The best part of this job is going home knowing I have made a difference; that is priceless.