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	<title>Comments on: THAT time of the year</title>
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	<link>http://nursingassistants.net/2007/04/23/that-time-of-the-year/</link>
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		<title>By: Change of Shift: Vol. 1, Number 23 // Emergiblog</title>
		<link>http://nursingassistants.net/2007/04/23/that-time-of-the-year/comment-page-1/#comment-39740</link>
		<dc:creator>Change of Shift: Vol. 1, Number 23 // Emergiblog</dc:creator>
		<pubDate>Sat, 19 Jul 2008 21:24:13 +0000</pubDate>
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		<description>[...] the planet, Kim Delaney discusses the miraculous changes appearing at nursing homes because it is THAT time of the year posted at Nursingassistants.net. Why can&#8217;t things can&#8217;t be like that all the [...]</description>
		<content:encoded><![CDATA[<p>[...] the planet, Kim Delaney discusses the miraculous changes appearing at nursing homes because it is THAT time of the year posted at Nursingassistants.net. Why can&#8217;t things can&#8217;t be like that all the [...]</p>
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		<title>By: Amy</title>
		<link>http://nursingassistants.net/2007/04/23/that-time-of-the-year/comment-page-1/#comment-37128</link>
		<dc:creator>Amy</dc:creator>
		<pubDate>Fri, 04 May 2007 12:49:10 +0000</pubDate>
		<guid isPermaLink="false">http://nursingassistants.net/2007/04/23/that-time-of-the-year/#comment-37128</guid>
		<description>Hi!
I came across this site via Change of Shift, and I just wanted to thank you for putting your articulate, intelligent, thoughtful selves out there.
This particular post rings verrry true, and is part of the reason I left LTC management several years ago. My frustration with the administrator and the corporate-types around survey time was one of the things that drove me over the edge. That need to put a shiny veneer over some very fundamentally broken stuff was insulting to me and my residents. They deserve good care from well-trained staff, good food, and a clean environment every day.</description>
		<content:encoded><![CDATA[<p>Hi!<br />
I came across this site via Change of Shift, and I just wanted to thank you for putting your articulate, intelligent, thoughtful selves out there.<br />
This particular post rings verrry true, and is part of the reason I left LTC management several years ago. My frustration with the administrator and the corporate-types around survey time was one of the things that drove me over the edge. That need to put a shiny veneer over some very fundamentally broken stuff was insulting to me and my residents. They deserve good care from well-trained staff, good food, and a clean environment every day.</p>
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		<title>By: Patti</title>
		<link>http://nursingassistants.net/2007/04/23/that-time-of-the-year/comment-page-1/#comment-37087</link>
		<dc:creator>Patti</dc:creator>
		<pubDate>Wed, 02 May 2007 14:36:30 +0000</pubDate>
		<guid isPermaLink="false">http://nursingassistants.net/2007/04/23/that-time-of-the-year/#comment-37087</guid>
		<description>Thanks for the comment Craig.

So you&#039;re saying that it&#039;s the upper management that sets the tone for the yr round operation...and when the state enters each facility the uppities go nuts huh?? Doesn&#039;t surprise me...those who are furthest away from the actual units are the ones who have less and less CLUE about what&#039;s going on. 

As aides, this time of yr is not only phoney and obscene, it&#039;s an insult to us and the residents. We&#039;re not worth doing the right things except for one week out of the year...and even then management treats us like dirt with their own sweaty palms of anxiety, LOL...</description>
		<content:encoded><![CDATA[<p>Thanks for the comment Craig.</p>
<p>So you&#8217;re saying that it&#8217;s the upper management that sets the tone for the yr round operation&#8230;and when the state enters each facility the uppities go nuts huh?? Doesn&#8217;t surprise me&#8230;those who are furthest away from the actual units are the ones who have less and less CLUE about what&#8217;s going on. </p>
<p>As aides, this time of yr is not only phoney and obscene, it&#8217;s an insult to us and the residents. We&#8217;re not worth doing the right things except for one week out of the year&#8230;and even then management treats us like dirt with their own sweaty palms of anxiety, LOL&#8230;</p>
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		<title>By: Craig J</title>
		<link>http://nursingassistants.net/2007/04/23/that-time-of-the-year/comment-page-1/#comment-37003</link>
		<dc:creator>Craig J</dc:creator>
		<pubDate>Fri, 27 Apr 2007 00:51:09 +0000</pubDate>
		<guid isPermaLink="false">http://nursingassistants.net/2007/04/23/that-time-of-the-year/#comment-37003</guid>
		<description>As an administrator, I must admit this was one of the most frustrating and difficult times.  The bottom line is, if we do our job everyday we never have to worry about survey.  I have preached this for years.  

I hate the effect the &quot;running around like fools&quot; mindset has on the staff.  It is phoney, obscene, and much of the reason that staff lack respect for management.  

Here&#039;s the problem, many corporations believe that there must be a different approach during survey.  They lack the understanding that again...if you do what&#039;s right everyday you never have to worry about survey.

I spent 10 years at one facility where I was able to get the management staff to understand this concept.  During that time I never had more that 3 deficiencies and went through 3 surveys when I was not in the facility at all!!!

Set a course, communicate it, treat people right, provide great care everyday, and you will never have to worry about survey.

Take this to your administrator...they will think I&#039;m nuts, but it works and I can give you the results to prove it.</description>
		<content:encoded><![CDATA[<p>As an administrator, I must admit this was one of the most frustrating and difficult times.  The bottom line is, if we do our job everyday we never have to worry about survey.  I have preached this for years.  </p>
<p>I hate the effect the &#8220;running around like fools&#8221; mindset has on the staff.  It is phoney, obscene, and much of the reason that staff lack respect for management.  </p>
<p>Here&#8217;s the problem, many corporations believe that there must be a different approach during survey.  They lack the understanding that again&#8230;if you do what&#8217;s right everyday you never have to worry about survey.</p>
<p>I spent 10 years at one facility where I was able to get the management staff to understand this concept.  During that time I never had more that 3 deficiencies and went through 3 surveys when I was not in the facility at all!!!</p>
<p>Set a course, communicate it, treat people right, provide great care everyday, and you will never have to worry about survey.</p>
<p>Take this to your administrator&#8230;they will think I&#8217;m nuts, but it works and I can give you the results to prove it.</p>
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		<title>By: Patti</title>
		<link>http://nursingassistants.net/2007/04/23/that-time-of-the-year/comment-page-1/#comment-36999</link>
		<dc:creator>Patti</dc:creator>
		<pubDate>Fri, 27 Apr 2007 00:25:23 +0000</pubDate>
		<guid isPermaLink="false">http://nursingassistants.net/2007/04/23/that-time-of-the-year/#comment-36999</guid>
		<description>David I imagine they don&#039;t want the state to know that residents are getting OOB in the wee hours- they don&#039;t want to explain this. I&#039;m pretty sure you do this because day shift demands it and...it is helpful. BUT when it comes to resident rights, the state will not accept staffing issues as an excuse. So, when the state is in house, the residents are in bed when they&#039;re supposed to be.</description>
		<content:encoded><![CDATA[<p>David I imagine they don&#8217;t want the state to know that residents are getting OOB in the wee hours- they don&#8217;t want to explain this. I&#8217;m pretty sure you do this because day shift demands it and&#8230;it is helpful. BUT when it comes to resident rights, the state will not accept staffing issues as an excuse. So, when the state is in house, the residents are in bed when they&#8217;re supposed to be.</p>
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		<title>By: Patti</title>
		<link>http://nursingassistants.net/2007/04/23/that-time-of-the-year/comment-page-1/#comment-36998</link>
		<dc:creator>Patti</dc:creator>
		<pubDate>Fri, 27 Apr 2007 00:23:21 +0000</pubDate>
		<guid isPermaLink="false">http://nursingassistants.net/2007/04/23/that-time-of-the-year/#comment-36998</guid>
		<description>This about sums it up. The other thing--- we&#039;re not allowed to &quot;sit&quot; around at the nurses station...even when we&#039;re there to do our books. And the nurses are not allowed to be there either, even though this is where they do their charting --- we use computers too and there aren&#039;t too many to use! Another thing-- everyone has to QUIET...not as in NO talking, but toned down talking. As if we yell all the time or something.

We can&#039;t be our usual selves in other words. When the surveyors DO ask to speak to an aide, someone from management is always hovering around, trying to be nonchalant about it...but it&#039;s pretty obvious that they&#039;re just trying to be nosy!

I hate that time of year. It is stressful. It is silly the way management behaves. If they would just relax and stop acting as though they have something to hide. Oh wait...most of them are trying to hide things. ;)

Great post Kim LOL!!</description>
		<content:encoded><![CDATA[<p>This about sums it up. The other thing&#8212; we&#8217;re not allowed to &#8220;sit&#8221; around at the nurses station&#8230;even when we&#8217;re there to do our books. And the nurses are not allowed to be there either, even though this is where they do their charting &#8212; we use computers too and there aren&#8217;t too many to use! Another thing&#8211; everyone has to QUIET&#8230;not as in NO talking, but toned down talking. As if we yell all the time or something.</p>
<p>We can&#8217;t be our usual selves in other words. When the surveyors DO ask to speak to an aide, someone from management is always hovering around, trying to be nonchalant about it&#8230;but it&#8217;s pretty obvious that they&#8217;re just trying to be nosy!</p>
<p>I hate that time of year. It is stressful. It is silly the way management behaves. If they would just relax and stop acting as though they have something to hide. Oh wait&#8230;most of them are trying to hide things. <img src='http://nursingassistants.net/wp-includes/images/smilies/icon_wink.gif' alt=';)' class='wp-smiley' /> </p>
<p>Great post Kim LOL!!</p>
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		<title>By: David</title>
		<link>http://nursingassistants.net/2007/04/23/that-time-of-the-year/comment-page-1/#comment-36993</link>
		<dc:creator>David</dc:creator>
		<pubDate>Thu, 26 Apr 2007 19:59:09 +0000</pubDate>
		<guid isPermaLink="false">http://nursingassistants.net/2007/04/23/that-time-of-the-year/#comment-36993</guid>
		<description>Thankfully I work the overnight shift and don&#039;t have to deal with the drama. When the state is my nursing home, 3rd shift gets lots of notes with extra things to do with cleaning and building type things. One thing- when the state is in house we are not allowed to get up our list of residents we usually are assigned to do.
Why is that?</description>
		<content:encoded><![CDATA[<p>Thankfully I work the overnight shift and don&#8217;t have to deal with the drama. When the state is my nursing home, 3rd shift gets lots of notes with extra things to do with cleaning and building type things. One thing- when the state is in house we are not allowed to get up our list of residents we usually are assigned to do.<br />
Why is that?</p>
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		<title>By: Holly</title>
		<link>http://nursingassistants.net/2007/04/23/that-time-of-the-year/comment-page-1/#comment-36940</link>
		<dc:creator>Holly</dc:creator>
		<pubDate>Tue, 24 Apr 2007 11:30:29 +0000</pubDate>
		<guid isPermaLink="false">http://nursingassistants.net/2007/04/23/that-time-of-the-year/#comment-36940</guid>
		<description>LOL Kim this is funny. And so true.

The admin. at my nursing home runs around carrying a bottle of air freshener and sprays behind him, constantly. Everywhere he goes. So much that it makes us all sneeze. And the housekeepers, poor things, have to dust 30 thousand times a day. It is all about looks, for the most part when there expecting a survey. I usually can&#039;t wait for it to be over because the stress is so high it can be cut with a chain saw.</description>
		<content:encoded><![CDATA[<p>LOL Kim this is funny. And so true.</p>
<p>The admin. at my nursing home runs around carrying a bottle of air freshener and sprays behind him, constantly. Everywhere he goes. So much that it makes us all sneeze. And the housekeepers, poor things, have to dust 30 thousand times a day. It is all about looks, for the most part when there expecting a survey. I usually can&#8217;t wait for it to be over because the stress is so high it can be cut with a chain saw.</p>
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