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Tag No.: C2400
Intakes: NY00185837
Based upon medical record review and interview the facility did not comply with all of the provisions for an appropriate transfer. Please reference findings under Tag A 2409.
Tag No.: C2409
Based on medical record review and interview, the facility did not ensure the physician co-signed the certification indicating that the transfer to a higher level of care was appropriate as documented by the mid-level provider in the emergency department (ED) for 5 of 5 transferred patients (Patient # 1, 16, 20, 21 and 22).
Findings include:
Review of medical record for Patients # 1, 16, 20, 21 and 22 revealed no evidence that the physician co-signed the certification indicating that the transfer to a higher level of care was appropriate, as documented by the mid-level provider.
Interview with Staff # 13 on 8/10/16 at 11:30 AM revealed that a physician does not co-sign any documents completed by midlevel providers in the ED. The facility does not have a policy for this requirement.