State survey will make anyone sick. We just had ours and it was a nightmare. The team was horrible to us. They had attitude from the moment that they came in our front doors. I have been here for 5 years and have never experienced anything like this.
They will ask you anything they want. They ask about your policy et procedures. They will ask about your fire policy. They watch your med passes. They watch you do certain treatments. They can pull in the STNAs and watch them do pericare on people. One of the surveyors on our Alzheimers Unit released a lapbelt and then hung around to see how long it took for someone to notice and put it back on. They dig in the patients charts and check your orders, admission paperwork, dietary notes, nurses notes, MARS/TARS, immunization records, care plans
, PCP notes. You name it, they look at it. They will also look for expired meds, insulins, ect when you are doing your med pass. I am not sure about every states policy but ours is the insulin expires 28 days after being opened. (or at least that is our pharmacy policy)
Here are some tips for surviving:
1. You will not always have the answer they need. Don't tell them "I don't know." Tell them, "I'll find out for you and get back with you." It goes much better that way.
2. I like to have a Drug Book on my cart while passing meds. If they ask me something about a med, it is ready to check for them should I not know off the top of my head.
3. Don't offer them any info they do not ask. Just give them the specific thing they ask for and offer nothing more.
4. Be sure that you lock your cart when you walk away from it, unless it is in eye site. But I still always lock it just to be safe.
5. Don't leave any meds on top of your cart. Insulins are ok around my part.
6. Monitor your staff and make sure everyone is wearing gloves when appropriate.
7. Remember residents privacy. No shots out in commons areas. No acuchecks out there either. Actually here you are not supposed to give meds in them at all.
I know some of these things are back to the basics but there is always someone here that does some of these things and gets caught. I always feel like I am back in school and have an instructor watching me. Just remember they are no better of a nurse than you are just because of the position they are in. You are their equal. You will make it through. Good luck!!:spin: