Punctuality and Attendance
Starting work in a U.S. long-term care setting can feel different from what you are used to. Each workplace has its own culture, but there are some common expectations in LTC across the United States. Learning these will help you feel more confident, avoid misunderstandings, and build good relationships with coworkers and residents.
Good practices
- Be on time. In the U.S., arriving 5–10 minutes before your shift is considered professional. It shows respect for your team and allows time for a smooth handoff from the previous shift.
- Call ahead if late. If you are running late or unable to come, always call your supervisor as soon as possible. Not showing up without notice is seen as very unprofessional.
- Plan ahead. Arrange transportation and childcare in advance to avoid last-minute problems.
Documentation and Rules
Follow facility policies and complete charting on time to protect residents and meet regulations.
Good practices
- Follow policies. U.S. healthcare facilities have strict rules to protect residents and meet government regulations. Always complete required forms and charting on time.
- Accuracy matters. Write clearly and truthfully. If you don’t know how to document something, ask your supervisor.
- Privacy is required. Never share resident information with friends or family.
Communication Styles
In U.S. workplaces, communication is typically direct and respectful.
Good practices
- Be direct. It is common to say exactly what you need or think. This is seen as efficient and respectful.
- Ask questions. If you are unsure, it is better to ask than to guess. For example: “Can you please show me how you would like this done?”
- Feedback is normal. Supervisors may point out mistakes directly. This is a way to improve care and protect residents.
- Use a respectful tone. Speak calmly, use polite words (“please,” “thank you”), and avoid raising your voice.
Teamwork and Relationships
LTC work is team-based; good collaboration supports better resident outcomes.
Good practices
- Help each other. Offer help when coworkers are busy, and accept help when it is offered.
- Respect roles. Each staff member has different responsibilities (nurse, CNA, dietary, housekeeping). Follow your assigned duties and ask before doing someone else’s task.
- Share information. Tell coworkers or supervisors right away if a resident’s condition changes.
Resident-Centered Care
Residents have the right to make their own choices. Protect dignity and encourage independence.
Good practices
- Respect choices. Always ask before assisting with personal care, even if you disagree with the decision.
- Protect dignity. Knock before entering, cover residents during care, and listen to their preferences.
- Promote independence. Encourage residents to do what they can for themselves, even if it takes longer.
Good Practices vs. Avoid
Good Practices
- Arrive early, ready to work.
- Ask questions if unsure.
- Write accurate notes.
- Use polite, direct communication.
- Respect resident rights and preferences.
Avoid
- Coming late without notice.
- Guessing instead of asking.
- Sharing private resident information.
- Ignoring instructions or policies.
- Doing tasks for residents without asking.
Extra Tip: Cultural Differences Are Okay
You may notice that the U.S. workplace culture feels very different from your own. That is normal. It takes time to adjust. If you make a mistake, learn from it and try again. Asking questions shows you want to do your best. Remember, your cultural background is valuable—it adds strength and diversity to the team.
