• Assuming that the surveyor in training adequately explained the recommendations, discuss what other actions, if any, could have been done on the part of the surveyor in training?
• What actions should the CEO take regarding the coordinators reaction to the survey in training ring? Explain your answer.

HOSPITAL SURVEY: I COULD SHOOT HIIME It was early on in the survey process and I was in training. I was being monitored and evaluated by my assigned mentic Iremember it well. We were in Florida where I was conducting my last mentored survey. I was reviewing a sampling of employee personnel records to determine, amongst other things, if there was ongoing age-specific education and training documented in employee records that would indicate that employees had the appropriate training, skilk and competencies to work with various age groups, I noted in one record that a contract agency nurse was assigned to work with various age groups. Documentation of age-specific education and training coutd not be found in the record. Hooked at my mentor and said, "The rest of the records look OK. The hospitals staffing and credentialing processes are well organized and thorough. I don't think one record warrants a major citation.' Looking around the room to be sure no one was watching, he tumed and looked at me, if I were you, I would score the missing documentation, Of course idid he was my mentor and I was in training. I later explained to the survey coordinator what I had found She was very unhappy with my decision to score the missing documentation. She looked at me and said with frustration, "I will talk to your mentor about this" She walked over to complain to my mentor. He replied to her complaint, "It's up to him; f am just observing his work: Looking at me, the coordinator said. "This is just 1 record out of 600 and I can get you the documentation faxed today from the contracting agency" After she walked away my mentor looked at me and said, "I would score this, if I wete you, but it's your decision. The decision was not so difficult. The lack of documentation on hand at the time was cited. Later that aftemoon, at the exit conference, each of the surveyors presented their findings to the hospital's leadership. After I presented my findings, the CEO of the hospital, looking around the table at his staff sitting at the table asked, "Is there anything you would like to say to the surveyors." My mentor was sitting between the coordinator and myself She looked at me leaning forward against the table to look past my mentor and said, "I could shoot him," From what / could gather as the years passed, survey coordinators felt responsible for any citations received. Each hospital wanted a score of 100. Following the exit interview, the surveyor coordinator hugged my mentor goodbye. Looking angry, she walked away. The CEO was speechless and the room became eerly quiet