We have the same problem in CT - we have surveyors who have never worked in any capacity in a nursing home - how can you have any understanding of applying regulations in a LTC environment if you have never worked in the environment. We have had surveys up to 4 days with 3-4 surveyors during the entire process in a 64 bed facility with a history of either no or 1 deficiency for the past 5 years - what a waste of taxpayers money, but when attempts were made to change the system and spend more time in the "problem" homes (we have our fair share in CT), there was so much resistance because - oh my God what would the poor elderly in nursing homes do without the surveyors entering the building a least once a year -they are there to "protect" them - we all knew they were protecting their jobs. This whole process needs to be revamped from the Feds down - it is ineffective and makes good homes suffer (picking on absolute non outcome based issues) and poor homes just keep paying their fines with no recourse - it is a joke. Now I will get off my soap box because I know I will never see it in my life time. Holly QI in CT
> -----Original Message----- > From: dfrias [SMTP:[EMAIL PROTECTED] > Sent: Wednesday, October 29, 2003 9:57 AM > To: [EMAIL PROTECTED] > Subject: Re: oltc training > > What makes matters even worse is that not only are they not on the same page state > wise....but within the state as well! > Example: San Diego Surveyors will site same items that Riverside Surveyors will > caution yet at the sametime Orange County surveyors will say or do nothing. Go > figure! > > Wouldn't it be great if all survey teams included a seasoned MDS Coordinator. I am > aware of one team in Riverside County that has an ex. MDS person...I know her > personally and I must say....she is a good one! > > The Nose > > > To: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> > > Sent: Wednesday, October 29, 2003 5:01 AM > Subject: Re: oltc training > > Don't you wish ALL surveyors from ALL states would get on the same page! > One state gets cited, another one doesn't........how are facilities expected > to keep up when you never know from one surveyor to the other what is expected or > acceptable > Off my box and on to work > > ----- Original Message ----- > From: sheppard70057rn <mailto:[EMAIL PROTECTED]> > To: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> > Sent: Tuesday, October 28, 2003 10:39 PM > Subject: Re: oltc training > > Recently attended an inservice on restraints given by a health care > review group who is working closely with surveyors and stated that the definition in > the RAI manula is being read into too much. A person could have a belt on and not > beable to remove but not be a restraint. There example was a resident who does not > try to get out of the wheel chair but has tendency to lean over and play with her > feet has a belt on that would be considered an enabler. Rationale: it is not > prohibiting her access to her body or the task of continuing to leanover in chair it > is just on her so she doesn't flip out of chair. > > Dawn Sheppard, RN, CRNAC > > ----- Original Message ----- > From: mdsc <mailto:[EMAIL PROTECTED]> > To: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> > Sent: Tuesday, October 28, 2003 7:08 PM > Subject: oltc training > > Ok Went to RAI training sponsered by OLTC and they said that a > restraint was anything that limits mobility or access to body or that is unable to > be easily removed by the resident......not AND like the RAI manual reads. Is this > your understanding? > > Also vitamins are to be counted as nutritional supplements if > given for dietary supplementation and a medication if given as a medicine??? > /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
