The most recent CNA meeting I attended at work dealt with the subject of our upcoming State Survey Inspection. I'm new to this LTC facility so I don't have a clue what to expect. This happens once a year, these guys show up unannounced and follow everyone around with clipboards taking notes. They may stop an employee and ask them if they know what procedures to follow for emergencies, etc. Have any of you been through such a State Survey thingie ?? I'm told that if you make a mistake, for instance if you fail to wash your hands after caring for one resident before touching another one you will be tagged and the facility cited for it, also your name will appear in the official report. Last state inspection none of the CNA's were tagged, but one of our nurses didn't wash her hands after caring for a resident and she went down in infamy in the published report. What should I expect, and how long do these guys hang around? Thanks for any input.
Jan 28, '11
by Dorali, LPN
State surveys are definitely stressful. We had ours about 2 months ago. I believe they usually stay about 3 days.
It was my understanding that they send a letter before they come stating that they will be there within the next 30 days (or so). They can show up st any time, middle of the night, lunch time, etc. First thing they did was pull charts. Then they followed the nurses around. Their last day, they pulled the CNAs to watch them perform procedures. The way they did me, I would walk past one of the surveyors and they ASKED me how to do this or that. One time it was how to give a shower. I started listing the steps I take and she stopped me about halfway through and asked questions pertaining to safety. Would you ever leave a resident alone in the shower? (Absolutely not.) What do you do if you need help? (Pull the call light and wait for my partner to come.) They also ask you your name at some point during this, so yes your name is in the report.
We ended up with a few tags. However, they give the facility like 45 days to correct the issues, then they come back for Round 2. The second time, my partner and I were actually pulled into a room to perform pericare. I think, they want to make sure you know the basics. Wiping front to back, etc. We passed with no issues! I think if you fail to correct the mistakes the second time around, that's when they are issued any fines.
This was my first survey so I don't know if it's ever different, but this is the short story of what I dealt with. If you have any more questions, I'd be happy to try and answer them.
Last edit by Dorali on Jan 28, '11
The most important thing to do during a survey is to be truthful. If you don't know the answer to something just say so. But don't leave it at that. Tell the surveyor, "I'm sorry, I don't know the answer to that, but I can find out right away. I will ask ...(fill in appropriate person)." Although, sometimes state surveyors make mistakes or are mistaken, it's like dealing with the IRS, no point in arguing.
Last edit by systoly on Jan 31, '11
: Reason: wrong word
I won't lie to you, calling people by their formal names is the hardest thing for me.
I don't do it when state's not there. Not at all. I work with disabled kids and young adults, who aren't that different from OTHER kids and young adults - they love to be teased and played with and they love having nicknames.
And I am a nickname giver for sure. haha. Names for my usual residents include things like punkin, wee-man, boogerbutt, punk, doodle, poohbear, pookie, and lots of various plays and shortenings of their names. Hahah. A state surveyor would have a field day with me.
But, I'm pretty good about not doing it when state is there. I just think it's ridiculous that calling a resident something like "dear" or "pumpkin" can be considered abuse. Unprofessional, sure. But abuse? Give me a break. Unless the resident dislikes terms of endearment and prefers to be called a certain name only, that's just ridiculous.
Last edit by yousoldtheworld on Feb 2, '11