state reportables

[travel50]

Is anyone else having trouble getting their state reportables cleared? I have some on there since last March. I have written everything they asked for, and so now they are telling me I gave them too much information.

Several of these are for incidents that never happened. For example, the schizophrenic resident who claims the 3 men closest to his room have a conspiracy going against him and have called his family trying to extort money. Despite his diagnosis and the fact that he doesn't even have any family for anyone to call even if the guys came up with such a hairbrained idea, I have to report it. Then have to explain how I am going to insure this never happens again. How do I insure that something which never happened will never happen again?:icon_roll

[achot chavi]

CCM- we operate like travel50- also many of our pts beg not to be sent out- so we deal with things like this in-house.

The question is if you have the ability and coverage to do it. If you are a one woman show- you cant do it all alone- so just accept what your limitations are. IF you think it will help- show your med director travel50's post and explain your goal of dealing with these things inhouse for the pts benefit.

It might require some inservicing but its worth it.

[CapeCodMermaid, RN]

Ouch....I fell off my chair laughing at your post. Show the medical director something? I know what we can and can't do. We are more than capable of starting and maintaining IVs. The medical director is a balding man with a long, skinny pony tail who's thinking about anything stopped in the '60s :oand the other doctor, who is a woman and should know better, doesn't like to take suggestions from anyone..especially nurses. :uhoh3:I have no trouble speaking for myself, thanks anyway. I am used to dealing with doctors who want to have a collaborative relationship with the nurses. One of my former medical directors had medical students and residents come with him to the facility. More than once while walking down the hall I heard him say "You better learn now to listen to these nurses.:bowingpur They are here all day and know more about these patients than we ever will."

[achot chavi]

Thank you, I now appreciate my Medical Director even more than ever. He understands how much he needs us, he works with us, listens when we say we can handle something and when we say we cant. Listening doesn't make him weak, it makes him strong. Our mutual respect lends itself to a better relationship which is ultimately in the pts best interest.

[gonenutz]

I am jealous of all. Any compliant or reportable to the state where i am from the state has to come in and do a facility visit. thus the complaint/reportable is deamed substanciated or not and we have to proceed from there. It doesn't matter what you send them, they will be in your facility within thiry days. Good info to know is that from you MDS casper reports you can check to see if state has pulled your qi/qm reports and have an idea of when they are coming.

[CapeCodMermaid, RN]

Our surveyors used to come out more often for reportables than they do now. One of them told me that they get so many complaints from families and residents they don't have time to come out on every other kind of reportable. I reported a case of abuse and they didn't come out!

[gonenutz]

Ours have to come out on any complanits or reportables. The have a complaint survory for each region that takes care of the complaints. we get a lot of digruntled employee complaints.

[debRN0417]

In my state the complaint unit looks at the FRI's (facility reported incidents) and if there's not enough info they will call. They also can turn a FRI into a complaint and.... bingo a survey! I don't think that is fair though, because if it is a FRI that is turned into a complaint the complaint is automatically substantiated, although whether or not there is deficient practice remains with the outcome of the survey.....