I have worked for the Indiana State Department
of Health Acute Care Division from 1988 to 2003 as a Field
Staff Public Health Nurse Surveyor for Hospitals and Ambulatory
Surgery Centers. During that time, I received training in
all aspects of Acute Care surveying and regulations from the
State, and the former HCFA, now CMS, including the following:
o Basic Surveyor Training
o Psychiatric Hospital
o Emergency Medical Treatment and Active Labor Act
o End Stage
Renal Disease
o Critical Access Hospital
o Federal Validation
Surveys
o Federal Focused Validation Surveys
o Patient Rights
o HIPAA
o Universal Precautions
o OSHA Bloodborne Pathogens
Exposure Control Plan
o Infectious/Hazardous Waste
o Restraint
Use in Acute Care Facilities
o Quality Assessment/Improvement/Risk
Management.
o Ambulatory Surgery Center Federal and State
Rules Training
Not only did I receive specialized training
in the above regulation sets, but I provided training to my
Acute Care Division Colleagues regarding Complaint Investigations,
Critical Access Hospitals, Infection Control, EMTALA, and
OSHA Bloodborne Pathogens Exposure Control Plan. I was also
assigned to train new Acute Care Staff as they were hired
in, and provided written and didactic training programs on
the survey process to new Program Directors. I trained a succession
of seven Public Health Nurse Surveyors, and three Administrative
Consultants during my tenure with the Indiana State Department
of Health. I have provided outside training to groups, such
as the IHHA, APIC Indiana, and Certified Registered Nurse
Anesthetists at the request of these groups. During 1994 and
1995, I wrote a shortened survey process for hospitals at
the request of the then Health Commissioner, John Bailey,
M.D., and John Braeckel, Division Director of the Acute Care
Division at the time. Spencer Grover, of the IHHA participated
in the planning and implementation of the new process. The
shortened survey process, now called the Standard Survey,
is in use in hospitals today, and has saved the State of Indiana,
and the hospitals themselves, a great deal of time and expense
regarding the survey process. I assisted in the writing of
the rules for the current State Licensure Regulations for
Hospitals in the areas of Nursing, Emergency Services, Surgical
Services, Anesthesia Services, and Dietary Services. I also
participated in writing the State Licensure Regulations for
Ambulatory Surgery Centers.
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