DOH survey

CapeCodMermaid, RN · Jul 24, 2013

They have to find something to bug you about. I has one survey where they asked for ALL the incident reports on one resident. There were 9.... We could only find 8 of them. Apparently I have an honest face because they ended up saying...never mind.

It's a horrible system.

serenidad2004 · Jul 25, 2013

Oh the lovely survey... NOT. I hated the tension in the air it would cause. I used to hate the DON breathing down my neck about this or that more than the surveyors watching my everymove. I wanted to say to my DON "if you would be on the floor more often than just when state was here maybe you would have a clue and make sure everything is being done rather than breathe down my neck about it now"

So glad I don't have to deal with that woman anymore!!!!

CapeCodMermaid, RN · Jul 25, 2013

As the DNS for my building I spend more time on the units than in my office. You might get annoyed if she's there, but from her (and MY point of view), why do we need to tell you 27 times to do something?

systoly · Jul 26, 2013

As the DNS for my building I spend more time on the units than in my office. You might get annoyed if she's there, but from her (and MY point of view), why do we need to tell you 27 times to do something?

because you failed to use shock treatment 26 times

serenidad2004 · Jul 26, 2013

Never had to be told 27 times to do anything. That woman was honestly NEVER on the floor unless state was there and other than that you never saw her unless it was time for your annual review. She would invariably make herself look as incompetent as she was at least once during our survey because she couldnt answer a question about the simplest of things.

I will choose to view the attitude in your response as sarcasm. Have a great day

mlbluvr · Jul 26, 2013

As the DNS for my building I spend more time on the units than in my office. You might get annoyed if she's there, but from her (and MY point of view), why do we need to tell you 27 times to do something?

I don't see the sarcasm here. But I've worked with a lot of nurses that would prefer to spend three times the time and effort to avoid doing something, than it would take just to do it.

ktwlpn, LPN · Jul 27, 2013

Knock it off,this threads about me!!!

ktwlpn, LPN · Jul 27, 2013

Seriously, I can see both sides of the issue.We have 250 beds, the DON has written numerous policies and IMHO the responsibility for making sure everyone follows them down to the newest cna rolls down hill.The unit manager/supervisors must make sure the floor staff are following all of the P & P.And how many times DO you have to tell someone to do something before you can kick their butts to the curb because they clearly demonstrate their unwillingness to give a crap?There aren't enough hours in the day for my DON to hang out on each and every unit.She's too busy updating 30 year old policies that many of my co-worker's can't be bothered to read...

serenidad2004 · Jul 27, 2013

Seriously I can see both sides of the issue.We have 250 beds, the DON has written numerous policies and IMHO the responsibility for making sure everyone follows them down to the newest cna rolls down hill.The unit manager/supervisors must make sure the floor staff are following all of the P & P.And how many times DO you have to tell someone to do something before you can kick their butts to the curb because they clearly demonstrate their unwillingness to give a crap?There aren't enough hours in the day for my DON to hang out on each and every unit.She's too busy updating 30 year old policies that many of my co-worker's can't be bothered to read...[/quote']
I too can see both sides, I understand it all rolls down hill. I am not putting down or complaining about DONs that truly are busy taking care of the P&P and the administrative side of things. What I am talking about is the DON that really has NO CLUE. One that is completely disconnected and could careless about the staff.
That is the kind of DON that I worked for. For those that are in that position and do a good job... my hats off to them.

mlbluvr · Jul 27, 2013

Knock it off,this threads about me!!!

Sotty kt- sometimes when you click a topic you are led to the last page, not the first- and by that time the topic has already taken a dive off the cliff. I feel your pain about IRs. I'd rather eat a worm than fill one out. But I have to say I have never in all my years even heard of a surveyor asking to SEE them? I've always known them to be internal, risk control forms not to be shared, not to be mentioned in the chart, etc. As a long time MDS nurse, this makes me wonder if it happens in every state? Once, I charted that I tried to explain safety to a woman that I charted "Had had about 50 falls in the past year. I talked to her about why it is in her best interest to use the call light, because the risk of her breaking a hip with so many falls is just going to rise, and I also explained to her the real effects of a hip fracture. She agreed with me to use the call bell every time she wanted to use the bathroom". The DON saw this note, SCREAMED at me at the top of her voice, in front of the whole unit: "She has NOT had FIFTY falls- and WHY did you chart that!?". I told her I has scanned the care plan, I noticed about 50 falls, and thought that mentioning such a large number might encourage the patient to use the call bell. DON told me to "Take that note OUT of the chart! You're going to cause a survey!". She made me rewrite the note on a new (blank) NN, then told everyone before me to rechart, as well. I then counted the actual falls recorded in the CP for the last year. My bad! There were only 46. Ugh. So, this post about surveyors wanting IRs confuses me- that episode with Psycho leads me to believe even more that IRs were created to be private? I dunno.

mlbluvr · Jul 27, 2013

(Sorry, NOT Sotty!)