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Based on record review and interview, the facility's registered nurses failed to secure physician's order for care and services (intravenous line placement) provided to 1 of 10 sampled patients. Patient ID #6.

Finding:

Policy and Procedure Review:

Review of the current Policy and Procedure titled Subject: System_PCPS 147.7 Vascular Access - Short Peripheral Intravenous Catheters (PIV). Effective Date April 2016. I. Policy and General Statement. A Short Peripheral Intravenous Catheter (PIV) is intended for short-term intravenous access, usually for treatments less than 1 week. 5. A PIV should not remain in longer than 96 hours (4 days) unless ordered by the patient's physician and following discussion of the patient's clinical condition site assessment and prescribed therapy.

Review of Patient # 6 electronic clinical record revealed no evidence of a physician's order to have intravenous line remain greater than the 96 hours (4 days) as stated in the facility policy.

Review of patient ID #6's electronic medical record on 08//27/2019 with the Manager of Infection Prevention, RN, Employee ID #P revealed:

Review of the electronic clinical records revealed a physician's order for placement of intravenous (IV) access for Patient ID #6 on 06/18/19.

Record review of documents show intravenous access placement on 06/18/2019 and removal of the intravenous access on 07/01/19, 12 days after insertion of intravenous access.

No physician order was found concerning leaving the IV access longer than the 96 hours (4 days) that the policy stated.

Interview on 08/28/19 at 9:45 am with Employee ID #P stated the facility's policy for intravenous lines was 96 hours or 4 days, then the line should have been removed or the nurse needed to notify the physician for an order that is was ok to leave the line in.