Long vent, my apologies in advance. We took 13 tags, no IJ, will let us know about scope and severity. Ok, have been through the bowels of Hades for 7 days straight, nerves are shot, can't formulate an intelligent sentence and have PTSD from hearing "they just walked in." Have never been in this capacity (only 3 months) with survey before and I sincerely hope I win the mega millions lottery before next year.
We've had noro in our bldg (107 bed cap) that closed us for admits about a week before "they" arrived. We were somehow misguided about State not coming in for annual survey with noro outbreaks. Found out real quick that's a bunch of bull lol.
I'm usually the first mgr in bldg m-f, so last Monday arrived at usual time, about 0600, check in with the units, get census reports, etc, get morning mtg stuff ready to go. Got excited as finally had a chance to start my day in non-911 mode. About 0730 housekeeping walks up to me and says " there's some people from The Health Dept here, I put them in the conference room." HR jumps to 1,000bpm as I'm doing The Green Mile walk like the Tinman up to conference room. Sure enough, full survey team. bright eyed and bushy tailed. Haven't heard so many expletives used in one breath like I did when I got to call rest of mgmt team who usually don't start arriving until 0800.
Like I said, we were misguided about State not coming in for survey with a noro outbreak and were looking fwd to some extra time to go over nooks and crannies. Just coming off a high census, high acuity, no staff run, plus noro outbreak, so we'd gotten behind on a few things-aka,we got caught with our britches down.
They are starting to have a federal surveyor go with certain survey teams to monitor the surveyors. Great, just great, just what we wanted to hear.
One of the surveyors was sent home 2 days after their arrival with "noro symptoms." See what happens when you don't wash your hands? And yes, we all did an unprofessional nanny nanny boo boo when we heard that news lol. Had our outbreak just about gone until they arrived, then it started spreading again. Wonder if we can IDR THAT infection control tag.
State is focusing on skin and weight this year. They are also looking at Coumadin, fsbs, and b/p flow sheets with a magnifying glass. They find one thing out of whack and they pull all charts r/t same bldg wide. Would advise these items be scrutinized and supporting documentation if values out of range. We learned the hard way that the new grads that are coming out don't seem to grasp the not documented/not done concept. State says they are seeing the same thing everywhere. Checking the "MD notified" box on a flow sheet is not proper documentation (beating head on desk).
Thanks for taking the time to read this long vent if you got this far lol. Wow, what an experience/educational crash course it was.
Jan 23, '14
It was news to me as we'll, but look up F431, think its open to interpretation from whomever didn't have their Snickers bar that day. Have less narcs in the e-kit combined than I do in each cart. Another thing for bldgs using flow sheets with b/p and fsbs. Make sure that your nurses back up any entries where they marked " MD" notified, with documentation. They weren't to happy with some the documentation, will spare you my rant on that ( slowly beating head, repeatedly).
Last edit by DidiRN on Jan 31, '14