[quote=gentlegiver;4406908]So today I was told that the state would be at our facility on within the week. I have no doubt that we are going to fail the inspection. It will be thru no fault of the staff, the blame will rest entirely on the Administrator. He has made it clear (abundently clear!!) that he will cut the budget in anyway he can (to ensure he is always below cost therefore assuring his monthly bonus and believe me he has). There have been numerous times when we didn't have the supplies we needed to do dressings, no snacks for residents, no grippy socks to prevent falls, broken alarms not replaced, no bedding or washclothes, clothes taking 4 & 5 days to come up from laundry (he cut staff hours there) the list goes on. Of course when we fail the inspection, the blame will be seen as Nursings fault by family & the town. The Nurses and CNAs have spent thier own money to ensure that most of the basics are provided to the residents. Is there a way to let the inspectors know that we are frustrated with this policy (and have demanded change with no result) without losing our jobs? I love the residents, the facility is convenient to home, it is small (only 100 beds), and the core staff is great. I am worried that they will consider closing the place, what does it take to shut it down, we follow company policy, and really try to do the best for our residents. I would leave, but so many people left (in anger over his policies) that the majority of staff is all new and the residents are not happy with the changes so those of us who are staying are thier lifeline. Any Advice??[/quote
No advice needed, just show them what they ask to see. Answer all questions factually, do not elaborate. Believe me, these people WILL extrapolate on thier own! If there is no written policy for shortages or shortcuts, you have no framework to change or immeliorate your situation; that is why you feel YOU will be blamed. Do NOt spend your own money to supplement shortages in the facility; it could come back to haunt you. Document every time you have a shortage of supplies/staff; and submit it to the state.This is your duty as a nurse. The state will take it from there. Any deficits will NOT reflect on YOU, the owner of the facility is liable for ALL conditions outside of any deemed nursing negligence. But if you cover up lack of stafff, supplies, etc, without proof of complaint, you could be seen as negligent in not performing due diligence for your patients.