I'm an HCA (name changed) - I have a colleague who won't do washes, turns , changes because she's a staff nurse but she's shouted at me many times for not being fast enough.
On an average shift I have twenty adults to help - usually ten are totally dependant, maybe 1 or 2 are independent. Usually have two or three theatres, 2 or 3 post ops, 1 dying. 5 will need assistance with eating and drinking. All 20 need a wash - including full bed baths, showers, etc. All 20 have charts that I must check at least 2 hourly. I have up to 5 toilets to keep clean, multiple stock to keep replenished, scans and moves to sort, patients to escort, catheters to empty. Often 2 or 3 beds to clean too (30 minutes per bed). Often I am doing 90% of that alone as staff nurses are doing medication (a single drug round can take 2 hours).
I have trained myself to use the toilet at 6.30am, 11am ish, 3pm and then before bed - despite having recurrent bladder issues. We don't get to take water with us, have a fountain but the water isn't pleasant.
Management don't come to help, if they do its to tell you off.
I enjoy my job, I like making people feel better but I seldom manage to do it. I'm always getting good feedback from patients because I do try to do tea, fresh toast, extra blankets, fixing the TV (I've been a patient and relative too) but management want you to go faster , and we just don't have the time to hold a hand. Often I've gone home in tears and sore because I've not completed everything.
I even had a nurse question why I wanted/felt I should hold the hand of a dying patient so his family could go and get tea, that upset me. Some nurses aren't in the right profession unfortunately , those of us that are struggling I think.