As the Medical Service Line Director, my given authority is to ensure our nursing staff provides safe patient care by following the practice guidelines and policies within the organization. I also have the authority to hire, terminate, demote and promote nurses, nursing assistants and techs within the organization. My organization has been preparing for CMS and Joint Commission inspections. When it comes to these types of surveys, one of the goals of my organization is being on a position of readiness. The surveyors for CMS entered the building on this past Monday. We were informed that they would be with us for 4 days during the entrance interview. Fortunately, the top 100 leaders of the organization worked throughout the weekend preparing for the survey. Most part of the preparation, involved ensuring that the nursing staff education, competencies files, ACLS and BLS were current. I have been meeting frequently with my managers and their leadership teams to discuss our readiness. I spoke privately with one of my managers making him aware of the concerns I had regarding his clinical educator. During our meetings, the clinical educator never looked engaged. When questioned if her employees’ files were complete, her answer was always “yes”. Our organization has formed what we call a “blitz team”, which inspects the units and employees’ files. I specifically requested the “blitz team” to inspect this unit because of the concerns I had.