i was just wondering about state inspections.... i went through one recently and it sucked!!... well.. we did fine and i was even offered a job by them... which was flattering.. but i was new there and the only RN that worked the floor... they were watching me like a hawk!! they were nice and all...but intimidating to the extreme.. i only work @ that LTC part time nights... and i just happened to be there when they showed up..
i was just wondering.... is it always total chaos and havoc when state shows up??
i was just wondering about state inspections.... i went through one recently and it sucked!!... well.. we did fine and i was even offered a job by them... which was flattering.. but i was new there and the only RN that worked the floor... they were watching me like a hawk!! they were nice and all...but intimidating to the extreme.. i only work @ that LTC part time nights... and i just happened to be there when they showed up..
i was just wondering.... is it always total chaos and havoc when state shows up??
yup, pretty much! People are on their cell phones calling the other dept's to look out for this and that, also when they head for the stairs up or down? It's this big spy network of unit managers and supervisors trying to keep one step ahead.
There's a lot on the line, but it's hard not to see the comical side.
Specializes in Gerontology, Med surg, Home Health.
We are going to start using the program soon. Massachusetts is one of the last states which will have QIS. I've spoken to many people who have used the ABIQIS program and absolutely think it's worth the money....same questions the surveyors ask and our plan is to ask the residents the questions before the surveyor team arrives so we can fix what's wrong.
We are going to start using the program soon. Massachusetts is one of the last states which will have QIS. I've spoken to many people who have used the ABIQIS program and absolutely think it's worth the money....same questions the surveyors ask and our plan is to ask the residents the questions before the surveyor team arrives so we can fix what's wrong.
Yeah, I wish we had used it, we had a very long, difficult QIS survey, 3 weeks (4 days each week, July 4th was in there, exited July8th). Not too bad of an outcome, but lots of errors/staff fell apart, multiple complaints during the survey. In preparation for NEXT year, we willdo that program, it's a little cumbersome but effective.
In MN, we have had the QIS for about 4 yrs now. I like them better than the old traditional. I have never heard of anyone using extra things like what you are talking about to get through them though. Here, anytime a new guideline or way of doing things comes out, we have day long seminars where the state and the long-term care facilities are trained together.
In MN, we have had the QIS for about 4 yrs now. I like them better than the old traditional. I have never heard of anyone using extra things like what you are talking about to get through them though. Here, anytime a new guideline or way of doing things comes out, we have day long seminars where the state and the long-term care facilities are trained together.
That is a very, very good system and probably builds team work between buildings and surveyors. That is very encouraging. We used to have QUAN nurses but they have all been pulled to surveys as the money is winding down. I have to say that although our state is experiencing shortfalls financially, I have never seen so many surveyors, one building here in Seattle had 8 surveryors in for 3 weeks, one team training the other. They don't SEEM to be short of money for survey, lol
Specializes in LTC, assisted living, med-surg, psych.
I'm the DNS of one assisted living facility who's helping a sister facility pick up the pieces of their recent barbecue---er, survey---and finding it completely overwhelming. I was involved in the last part of the survey process as a consultant, and I'm still astounded at how brutal the exit interview was; worse, the final report was almost 120 pages long, and 95% of the citations were in health services.
What a bloodbath.....In a way I'm grateful for this experience, as it's been highly instructive as to what I need to tighten up on at home before we enter the survey window this winter. But as bad as this sister facility is (med aides squeezing boils on diabetics! change-of-condition assessments not done! chronic pain not addressed!), I have to say that I wish all LTC surveyors were required to be nurses.
Not that I've got anything against social workers, but they tend to live in a dream world of how-things-should-be, rather than the world of what-IS. They don't seem to get the fact that with the kind of staffing we have in LTCs and ALFs, we can't lay a mint on the pillow every night and make everyone feel loved and special every moment of every day. I don't blame them for holding our feet to the fire when there is blatant neglect of basic care such as keeping residents clean and fed and as comfortable as possible. But I think they could use a reality check when it comes to 'fluff'. I mean, does the ancillary staff REALLY need to read and sign every interim service plan? (Like the kitchen really needs to know we're now doing incontinence care for Mrs. Smith.) And how does a piece of paper with staff signatures scrawled all over it prove we're actually performing the services?
OK, rant over........now back to our regularly scheduled gripes about surveys!
Specializes in Gerontology, Med surg, Home Health.
It is my understanding that the QIS surveyors must review a certain percentage of the charts. If you have a large number of beds they will have to be there longer to review the charts.
It is my understanding that the QIS surveyors must review a certain percentage of the charts. If you have a large number of beds they will have to be there longer to review the charts.
69 residents, 3rd building in state to go thru it, surveyors openly frustrated with systems/computers
nola1202
587 Posts
yup, pretty much! People are on their cell phones calling the other dept's to look out for this and that, also when they head for the stairs up or down? It's this big spy network of unit managers and supervisors trying to keep one step ahead.
There's a lot on the line, but it's hard not to see the comical side.