shellyoo

I was recently hired as director of nursing of nursing home. Unfortunately 3 weeks before I start they had their state survey. I was hired the day after the surveyors left. They received 29 tags. The previous director was fired and the intern director walked out. I have been in this position 7 days. I came at the worst time possible because everything has fallen through the cracks. I;m expected to fix all of these tags they received. Let;s just say I;m going to need to re create the wheel in every area. Everything has been lost from previous inservice training to any kind of tracking logs for things such as infection control, falls, antibiotic monitoring logs, psychotropic monitoring, no tracking of attendance, no follow through at all. We have very little nurses and use 80% agency staff. The place is in complete chaos. Every day I walk in we are getting pulled in every direction. My 6th day I was told I had to complete Plan of correction of the 29 tags along with audits on each tag- 3 audits per week through 4 weeks and they wanted it done on that day by 3 pm. This is not including psychotropic follow up that has not been done. We have about 20 pages of psychotropics in this facility this alone could take days to complete. I have enough work for 6 managers and I'm having demands made on me to get this done NOW. I had no real orientation as a new director and being expected to fix this building that is falling apart. Is this even possible? There is no communication within departments. I could go on.. just picture yourself walking into a disaster zone and told you must fix this now.