Office Concerns,, Am I Worried for Nothing?

I would get out of there as fast as I could if I were you. Don't put your license on the line any longer. This "facility" is a danger to patients and employees both. If I were an inspector, I'd shut this place down quickly, and probably bring legal charges against the facility "bosses", for violating health and safety laws.

The fact that there is a lack of communication between the bosses and their employees shows a lack of respect for employees, not to mention patients and their health and safety. The fact that your office doesn't have quality control logs or keep proper charts, not to mention the lack of awareness of basic healthcare policies (all those that you just enumerated), is frightening.

In the meantime, while you look for another job, start keeping a written set of notes for yourself, "just in case." Note any times that you ask your supervisor about staff meetings; about requests to be inserviced re: current rules and regs, etc., and your supervisor's response.

I work in a large clinic. We have staff meetings once a month for the entire office staff (including lab), and a separate one monthly for nursing, and one for front office staff. Of course everyone rolls their eyes about the meetings, but I can tell you that all current licensure information gets passed along and any items that might not be up to standard are quickly corrected, and followed up on. All the staff know all the requirements by heart.

Our clinic is a hospital based clinic, and we are reviewed by JCAHO every time our hospital is; and our lab is also under CLIA. So far, knock on wood, we have come through with flying colors every time. But it takes a LOT of communication and follow-up.

It would be hard to give up a clinic job. I know, because I really value the excellent hours and holidays and weekends off. But I wouldn't want to jeapordize my license. Find a better ambulatory setting to work at. Your supervisor is setting a horrible example.