HospitalInspections.org

Based on record and staff review, it was determined that the Director of Nursing does not have sufficient education and experience for her current administrative position as the Executive Nurse in the facility. This deficiency can result in the lack of quality nursing care for the patients.

Findings include:

A. Document Review

Review of the Director of Nursing's resume in the employee's Human Resource file provided by the Chief Executive Officer revealed that the Director of Nursing had a Associate Degree in Nursing (obtained in 1997), and administrative experience is limited to the Director of Nursing in a skilled nursing home for one year, Acting Director of Nursing for a Behavioral Health Unit for two years. She was hired at the facility on 09/20/11.

B. Staff Interview

During an interview on 09/27/11 at 1:00p.m., the Director of Nursing stated that s/he has an Associate Degree in nursing obtained in 1997. She stated that she had attempted to get a psychiatric nurse certification in the past and was denied because she did not have a Bachelor of Nursing Degree, but now the rules had changed and s/he intended to get certified. She also said that s/he did not have a contract established for consultation with a psychiatric advanced practice nurse.