State Survey

laughingfairy · May 21, 2004

completley there with you...take the weekend and do something that you want to do...next is the bout of "education, and correction" right? So you probablyreally need the breather.

NursesRmofun, ASN, RN · May 22, 2004

completley there with you...take the weekend and do something that you want to do...next is the bout of "education, and correction" right? So you probablyreally need the breather.

Yes. Plan of correction is next. Can't wait. Argh. :rolleyes:

Long Term Care Columnist / Guide · May 22, 2004

Been there, done that, still got new skin growing in on my orifice to prove it. You have my sympathies. :uhoh21:

NursesRmofun, ASN, RN · May 22, 2004

Been there, done that, still got new skin growing in on my orifice to prove it. You have my sympathies. :uhoh21:

LOL. Thanks.

leslie :-D · May 22, 2004

Yes. Plan of correction is next. Can't wait. Argh.

did you guys get serious deficiencies?

leslie

NursesRmofun, ASN, RN · May 22, 2004

did you guys get serious deficiencies?
leslie

I have only been there a short time, but, yes, serious enough that they are coming back to check us soon. Like I said, I think some of the wounds that came from hospitals, etc., made us look worse. This is also a facility that has *improved* in the last several years. There is just more work and more improvements to be done.

leslie :-D · May 22, 2004

I have only been there a short time, but, yes, serious enough that they are coming back to check us soon. Like I said, I think some of the wounds that came from hospitals, etc., made us look worse. This is also a facility that has *improved* in the last several years. There is just more work and more improvements to be done.

i so relate to wounds/ulcers received in the hospital. one year we were cited because of something similiar but nsg. HAD been doing the necessary care, it's just that it was not reflected in the documentation. the following year we all had it down pat. nurses really need to know the cruciality of good documentation.

NursesRmofun, ASN, RN · May 22, 2004

i so relate to wounds/ulcers received in the hospital. one year we were cited because of something similiar but nsg. HAD been doing the necessary care, it's just that it was not reflected in the documentation. the following year we all had it down pat. nurses really need to know the cruciality of good documentation.

Yes,...true! And I did learn that you have to get a move on quickly with all the detailed assessments, finding out more and more interventions...it is a priority on my list now.

BHolliRNMS · May 23, 2004

I always document on the careplan when a resident returns from a hospital with a wound and take a pic immediately. Also important to identify residents at high risk for developing pressure areas and implement measures to prevent to show that wounds that do develop in your facility were unavoidable. I had a state surveyor try to give me a G citation last year because a man with cancer whose family refused a peg tube and he would not eat had a wound that wouldn't heal. I challenged him to show me how the wound could have been avoided ...things that should have been done that weren't....but he couldn't. So, we got zero citations on wounds. You really have to stand up to surveyors and be assertive. By the way, IQH, an Initiative for Quality Healthcare, has a great QI program for pressure ulcers. I think the tools are available on line. If you don't find them online, I will be glad to fax you the worksheets.

debbiemig · May 23, 2004

i so relate to wounds/ulcers received in the hospital. one year we were cited because of something similiar but nsg. HAD been doing the necessary care, it's just that it was not reflected in the documentation. the following year we all had it down pat. nurses really need to know the cruciality of good documentation.

I agree that documentation is crucial, in my facility however, there is soooo much work to do, so many medications, so many needy residents, needy families, so much everything! There just isn't enough time in an 8 hour shift to get everything done. If we aren't punched out by 3 pm, we get a note of reprimand in our paychecks about " unauthorized overtime"! If we ask for authorization, the administration says " no"! What's a nurse to do? As for me, I haven't taken a break in 15 yrs, only my 1/2 hr lunch. I give till I can't give anymore! Any ideas?

BadBird, BSN, RN · May 23, 2004

Perhaps if you didn't put in 55 hrs. and things weren't perfect then the state inspected theywould see the reality of what we do, along with the great need for mandatory safe staffing levels. As long as we all run around like chickens with our heads cut off before these inspections making things look perfect only to return to the norm when they leave, the state will never get a accurate picture and mandate or legislate for changes. Perhaps of the hospitals got huge fines because of the errors that are covered up during inspections then we would see changes.