CathRN

go to Florida's state page, google florida regulatory services for nursing facilities

www.cms.gov then appendix p, pp and q. PP is the regulations (tags), P is the survey process, and Q is the Immediate jeopardy appendix

My mother was a heart transplant recipient, had implanted medi-port due to being a hard stick from so many previous surgeries prior to transplantation...Anyway.......when I would take her for her checkups, the lab staff are not allowed to access any ...

Try State Surveyor jobs, lots of travel, but easier on the body, but it is stressful. How about home health, hospice or MDS coordinator for a nursing facility? Weekend RN supervisor for nursing facilities, home telephonic case management, the possi...

Actually, I would cite it as Neglect. They are neglecting to provide proper care for the resident by refusing to use the lift. They are also neglecting to follow the plan of care.

For the posters who didn't know what SOC was, you can go to www.cms.gov and type in OASIS, and it will take you step by step on OASIS. In Texas, there are seminars everywhere that you can go to for OASIS training as well.

Oh my, it seems like I'm OCD and share traits with most of the posters here. Even though I don't work in the hospital setting, my brain sheet is a MUST! I can't function without it. And yes, I catch a lot of "flak" about it.

I am a new DON, previous surveyor and investigator. I'm very upfront and blunt. I also had one of "those" family members which every other sentence was "I'll move him (her husband who was very pleasantly confused Alzheimer's) to another facility. ...

www.cms.gov. That will take you to the main webpage. On the right upper side there is a search box. There you can type in Appendix P, which is the survey process - what the surveyors look at and why; Appendix PP which is the tags; and Appendix Q w...

As a new DON and former surveyor, www.cms.gov. I saved mine to my Ipad under IBooks. Download appendix PP (the regulations), appendix P (the survey process), and appendix Q (the Immediate Jeopardy guidelines). In the regulatory (appendix PP), the ...

As a state/federal investigator, I have seen this all too often. And yes, I do call IJ's when this occurs.

Were we separated at birth?

I forgot to add that I did speak with the attending physician and he said to go for it! He told me years later that he appreciated they way I treated his patients, that his patients and/or family would tell him that they enjoyed having me as their n...

I have "bent" the dietary rules for my patients in the past as well. On my unit in the hospital we regularly received overflow oncology patients. I did get written up several times and many verbal warnings, but if one of my oncology patients reques...

LOL SummitAP, the same goes for me. "I have some blood in my caffeine stream." So true.

"JUST"?!?!?!?!? You have worked long and hard to get where you are. It is a pet peeve of mine when someone says "They are JUST a (CNA, LVN, floor nurse)......Sorry, I'll get off my soap box, but don't be so hard on yourself, and don't let anyone el...

anytime

As a state surveyor in Texas, I am on the road A LOT.....if you have small children that is something you have to decide. One of my co-workers has small children, but her husband is a stay at home dad. Works for them. I love my job, but fortunatel...

I would start by looking at your state health and human services website. In Texas, it is DADS - Department of Aging and Disability Services, but each state is different. You might also try CMS - Center for Medicare and Medicaid Services, that is t...

I do have to say that I was not pleasant, I did not back down, I did tell him to calm down and treat me with respect(at the top of my "mom" voice). Then I called the CVOR coordinator to come relieve me and went to the managers office and lit in the ...

When I worked CVOR and reported the surgeon for throwing scapels, bloody towels, clamps, etc. I was called into the OR manager office and told "The surgeons bring in the money, nurses are a liability" We have worked with this surgeon for over 20 ye...

You are obligated to report this to state. NOW!. Also as a previous poster stated, also report it to your state board of nursing. Call your state reporting hotline. ASAP, if not sooner. I am a "state investigator", my mantra is "it is better to...

As a float nurse, or as a prn pool nurse, my nurse manager (when I was floated) or the house supervisor (my boss when I was prn pool) would often give me little thank you gifts. Especially when I had a rough shift. They did listen when I told them ...

I have experienced "ungratefulness" from the home floor staff. Several times, when I was floated, or when I worked "house pool", I ended up with the heaviest patient load from the regular, home staff. I have spoken up, but was ignored. Finally, I ...

Oops. Surveys can leave the building. But cannot exit the investigation or survey until the immediacy is lifted. Often we will inform the Administrator, DON, and whatever other department heads they may want to know. Then we leave the building fo...