It Is What It Is

We had our final life safety inspection today at the new nursing facility where I recently went to work as Director of Environmental Services. There is always something that needs to be re-done in inspections such as this, and today was no exception. However, there were a couple of things during this process today upon which I’d like to comment.

First, it seems that people sometimes have a hard time understanding that when they’re asked to do something by someone in authority, that person means exactly what he/she says. One of our sub-contractors had not performed an inspection on the fire suppression kitchen hoods over our stoves. They had done the installation and the check sheet that they normally do with the install, but no inspection was done because, “We don’t do inspections on new equipment.”

The Fire Marshal was polite, but said several times that he needed an inspection report, and that the installation report wasn’t adequate. The owner of the business repeated that directive a couple of times, as did I. Finally, the sub contractor “got it” and said that he would do an inspection, even though I know without a doubt that he was thinking, “This is a new installation. Why do I have to do an inspection?”

The answer to his non-verbal question is simply, “Because the authority is requiring it.” It doesn’t matter if it makes sense to the sub contractor or not. It doesn’t matter if anyone else wants it done or not. It doesn’t matter if it’s a brand new system that doesn’t really have anything to “inspect.” The fact is, it is required and the authority (the one with the badge and the force of law) is the one who is requiring it.

Second, it would be quite helpful if people would not take it upon themselves to make changes to the plans and specifications without consultation. Some of that happened in this construction, and we now have to go back and make those things right. The cost will be much more now that the project is complete, and people are going to be inconvenienced. The plans should have been followed.

Third, I’ve been working with government for about 20 years, now. Rules and regulations are there for a reason, even if that reason may not be apparent to the general public Joe Schmo. It is unproductive and just plain not a good idea to try to bargain with these people. They don’t care if it costs an arm and a leg to comply. They don’t care if we obtain our license to operate next week or next year. They don’t care if we have to tear out walls and dig up the floor. They expect us to follow the rules of construction and operation as clearly spelled out in both the Kansas regulations as well as CMS (Medicare) regulations. And if we don’t, well, that’s a shame.

And so we have some things to correct. I think all in all we did OK. We learned, and hopefully won’t make the same mistakes next time. And, after all, isn’t that what experience is all about?