So, I am busy with my morning med pass, just minding my own p's and q's. I have a pt who is currently on hospice and is on comfort cares, turned q hr, pain meds q 2hr and RR were..oh..about 5-6 a min and a large amount of family at bedside that needs more TLC then the patient. As I am coming out of the room, I noticed my DON hustling down the hallway, checking things out. As she passed by, she whispered "State is here!" Okay, we have been expecting them, we knew this week was coming soon. I then noticed department heads popping up and looking around and then back to their offices. I continued on with my med pass. About 20 mins later, I got this strangest feeling that someone was watching me . I turned around from my laptop and there she was. Lets just call her "Big Bertha" . She came over and introduces herself to me and tells me that I am a "natural" with my clients. Then she says she has a few questions for me, can I spare a few minutes. I explained to her that I was in the middle of my med pass, but that I would be more than happy to answer any questions in about 45mins. The look on her face was priceless. You would have thought I told her that she won the frkin lottery. She got so excited and said "Ohhh...really.. Can I watch?" I said sure, why not. I really didnt get why she was so excited and she was even more thrilled when I told her yes. I mean, she is the state, what was I going to tell her..NO?!!?! So we continued down the hall as I passed my meds as I do every day. But it was SOOOOOOO annoying having her right there..I mean so close, I could count the hair she had growing on her top lip. So close, I had to offer her a breath mint...twice. I wasn't scared or freaking out. She asked questions, I gave her an answer. I didnt know things off the top of my head, I had to look in the chart or even look at the patient themselves. I passed the meds the same way I have done every day. She asked my why some of my meds were "late". I explained that some of my clients (mostly the AA0x3) are not morning folks and do not get up until 10am. When we went in to the dining room, she watched as I gave a client their meds. When we left, she asked me why I did that. Why not give the client their meds before or after they eat. I explained to her that the client prefers to have their meds with foods. I continued to explain to her that I do not give tx, eye drops, inhalers, nasal sprays, or insulin anywhere but the client's room or our treatment room. After my med pass, she said the only problem she saw with me was that there were about 5 or 6 clients that I gave 8am meds at 10am. I explained to her that the client prefers those meds at that time. When they were at home, that is what they did. I also showed her where I would document that the client prefers what time they take their meds. I also asked her if she was on any medication and what time does she take them. She told me that she took all of her meds at bedtime. I said so if you were admitted to an LTC , would you want to continue that or what is consider "policy"? All she said was "Good Point." And then walked away. I am interested in what happens tomorrow.
. I turned around from my laptop and there she was. Lets just call her "Big Bertha" . She came over and introduces herself to me and tells me that I am a "natural" with my clients. Then she says she has a few questions for me, can I spare a few minutes. I explained to her that I was in the middle of my med pass, but that I would be more than happy to answer any questions in about 45mins. The look on her face was priceless. You would have thought I told her that she won the frkin lottery. She got so excited and said "Ohhh...really.. Can I watch?" I said sure, why not. I really didnt get why she was so excited and she was even more thrilled when I told her yes. I mean, she is the state, what was I going to tell her..NO?!!?! So we continued down the hall as I passed my meds as I do every day. But it was SOOOOOOO annoying having her right there..I mean so close, I could count the hair she had growing on her top lip. So close, I had to offer her a breath mint...twice. I wasn't scared or freaking out. She asked questions, I gave her an answer. I didnt know things off the top of my head, I had to look in the chart or even look at the patient themselves. I passed the meds the same way I have done every day. She asked my why some of my meds were "late". I explained that some of my clients (mostly the AA0x3) are not morning folks and do not get up until 10am. When we went in to the dining room, she watched as I gave a client their meds. When we left, she asked me why I did that. Why not give the client their meds before or after they eat. I explained to her that the client prefers to have their meds with foods. I continued to explain to her that I do not give tx, eye drops, inhalers, nasal sprays, or insulin anywhere but the client's room or our treatment room. After my med pass, she said the only problem she saw with me was that there were about 5 or 6 clients that I gave 8am meds at 10am. I explained to her that the client prefers those meds at that time. When they were at home, that is what they did. I also showed her where I would document that the client prefers what time they take their meds. I also asked her if she was on any medication and what time does she take them. She told me that she took all of her meds at bedtime. I said so if you were admitted to an LTC , would you want to continue that or what is consider "policy"? All she said was "Good Point." And then walked away. I am interested in what happens tomorrow.