Surveyor: The First Week - page 2

I really had no idea what I was getting into. I thought I knew pretty well what state surveyors did from being on the receiving end of entrance conferences, interrogations, citations, and exit... Read More

  1. by   VivaLasViejas
    Quote from llKristenll
    Congratulations on your new position! the good news for you is that there is no humanly possible way long term care can escape the tag. We're dammed if we do and dammed if we don't. And for every possible scenario there's at least ten tags to accompany it. The reality is that with all the documentation that's expected, there is little time left for patient care. I predict there will come a day when it will become completely impossible. It's close now. 30 patients for one nurse is too much. That's a worthy tag. Help us? We need legislation. Max 20 patients per nurse. They're not the same LTC patient you had 20 years ago. Nothing personal, just thought I may have an opportunity to have a voice with someone who could maybe make a difference.
    Believe it or not, surveyors and LTC nurses are on the same side: that of the residents! I only recently left SNF/NF because I couldn't handle the stress anymore. I know those ratios are ridiculous, and that staff can only do so much with so many high-needs residents and so little help.

    I also know that at some point, this entire house of cards is going to collapse because nurses and aides are stretched so thin they really can't do more. Unfortunately, some of the documentation that LTC administrations impose on staff after a "bad" survey DOES NOT have a basis in the CFRs (Code of Federal Regulations), and this neither improves patient care nor fulfills the requirements that weren't met in the first place. Believe me, I feel for you.
  2. by   tyvin
    Don't forget to advocate for the nurses as well...
  3. by   Carrie RN
    Watch out for the me's. I liked to get a surveyor talking about themselves, past career, etc. I ran a tight ship, I always helped staff, pristine documentation. Treated the residents better than my own family. I usually had a deficiency free survey too.
  4. by   CraigB-RN
    Reading your post brings back memories. I thought I had it all in my pocket because I had done IG inspections when I was on active duty. I had no clue.

    Keep your head up.
  5. by   VivaLasViejas
    Well, at least now I have a better acquaintance with what I DON'T know. Three weeks in and I've realized that I basically have to throw out everything I know about nursing homes and start over from scratch. Good thing we're never too old to learn new tricks.
  6. by   Ginger's Mom
    Sounds like you are learning allot. Different when you are on the other side.
  7. by   nursefrances
    I was going to say "Go get 'em Tiger!" But that just sounds weird.....

    But seriously, congrats to you Viva. So happy you are enjoying your new adventure. Keep us posted.
  8. by   Haleema
    Congratulations .. Good luck thank you for sharing it
  9. by   SE_BSN_RN
    That's great, Viva! I am looking forward to your updates!
  10. by   Vincent12
    I am a new nurse on a med surg floor and I'm miserable. I Iove my patients and most of my colleagues but I find myself running around crazy and the hospital keeps piling on more work and the charting is insane. I feel I have no control of my own practice. I suppose this is what its like in hospitals in general. I'm disappointed. I always planned to go into a nursing specialty that includes a leadership role and involvement in helping community and patients to have their healthcare needs met. Has a anyone moved from floor nursing to a surveyor for The Health and Human Services in TX. My current job pays 23.50 and I feel that I dont want to leave this job unless the surveyor job Im interviewing for is worth my while financially and mentally. Thank you
  11. by   nursesherry7
    Congratulations . In what State do you reside ? What is required to become a State Surveyor ? I enjoy all of your articles . S.Reynolds RN
  12. by   CapeCodMermaid sympathy for surveyors who do nothing but make life miserable for those of us taking care of people. Most surveyors couldn't do what they expect me or my staff to be able to do.