How do I handle state survey

  1. I'm a new RN (since March 2013) working in a nursing home. We;re in our window and I'm excited and nervous at the same time.

    I know for sure they'll watch me do a med pass. I already have a patient in mind. But I also have three G-Tubes and two Trach patients, one of which is a total care. I just recently acquired a contact precaution patient.

    Some of my coworkers said to do all the hard ones first. I should follow company protocol but 7-3 is crazy busy, i'd love to read up on all protocols..

    How can I prepare for state? Any suggestions??
  2. Visit itsdebraanne profile page

    About itsdebraanne

    Joined: Oct '11; Posts: 160; Likes: 35
    Graduate Nurse; from US
    Specialty: 1 year(s) of experience


  3. by   xoemmylouox
    The most important thing is to remain calm. You can try to study up on your facilities protocols. I would focus on anything you have doubts on, especially related to your more complex patients.
  4. by   mtngrl
    I have no advice but my gosh I got nervous just reading your post!!!! I have only been watched once, when I did med passes at group homes. I hate how they stand there with their little clipboard.
  5. by   amoLucia
    Like PP said, do your toughies first, incl EYE DROPS. Take a deep breath and BE CALM.

    Have your med cart super well stocked.

    Don't fudge answers, just say that you'll check it out and then DO get back to the surveyor with your answer.

    There have been other posts here on AN with multiple EXCELLENT suggestions.

    Just remember your good school practice. Good luck!
  6. by   systoly
    in my area, state surveyors like to see teaching
    tell the pt. what meds, what they're for, etc.
    take the time to ask if they're having pain or other probs
    check the water pitcher, etc.
    takes a little xtra time up front, but if you impress them
    they'll get out of your hair quicker and it's good practice
  7. by   CapeCodMermaid
    Don't change your daily routine simply because surveyors are there. The calmer you are, the better off you'll be. I tell my staff it's onl 4 or 5 days out of the year. We do the right thing every day so why change because DPH is in the building. The last 2 places I worked....the surveyors commented on how calm the staff was. I told them the same thing...we do the same thing every day so why stress because there are visitors watching? Good luck. I'm still waiting for my annual survey. They are way behind in Massachusetts.
  8. by   llKristenll
    They usually only watch you pass meds to a couple of residents. Not the whole pass. Make sure that you wash your hands, and don't mix your g tube meds together. Check your orders to crush thoroughly now and make sure everything is right . Try to make sure that your med pass times make sense. And you should always do your most infectious care ( isolation) last.
    Check your orders to flush too. Best thingbisb to pull your facilities policy on med administration via g tube and keep it handy. Don't forget your gloves!
  9. by   VivaLasViejas
    Some things surveyors want to see:

    A willingness to work with us. We know you're nervous, in fact, some of us are new to our jobs as well and WE'RE nervous (but we won't let you know that, of course). If you don't know the answer to a question, say so, but also be able to refer us to the person who does know, or to point us to the correct reference.

    If you make a mistake, don't go into hysterics; just be honest and do what you can to fix it, including notifying your supervisor and such other persons as family, physician etc. Many of us have stood in your Danskos and know exactly how it feels to mess up in front of "the State"......we're not there to crucify you. Believe it or not, we are ALL on the same side---that of the patients/residents in your facility.

    Some things surveyors DON'T want to see:

    Confidential papers, e.g. the MAR/TAR or the bowel care list with residents' names, left in plain view on top of the med cart. This is a HUGE violation of the privacy laws and is taken very seriously by the survey team.

    Nurses and other staff hastily scribbling their initials in the MAR/TAR after having failed to document meds/treatments on a previous date. We've already seen the record and made copies of it, so any attempt to fill in those holes after the fact does nothing to improve your facility's odds of avoiding a citation. It may also call your integrity into question should something else come up.

    And, as another member stated, remember that surveys are only once a year and if your facility is doing a good job overall, we'll be out of there in 4-5 days.

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