HospitalInspections.org

Based on on records reviewed, interviews and observations for one of thirty sampled patients (Patient #1), the Hospital failed to:

1) Record Patient #1's presentation to the Hospital's Emergency Department (ED) on 1/1/18 in the corresponding ED Log and

2) Ensure the Hospital's Medical Staff Bylaws, Rules and Regulations identify the individuals qualified to conduct a medical screening examination in the Emergency Department.

Refer to A-1104

Based on on records reviewed, interviews and observations for one of thirty sampled patients (Patient #1), the Hospital failed to record Patient #1's presentation to the Hospital's Emergency Department on 1/1/18 in the corresponding ED Log and the Medical Staff Bylaws did not define the individuals qualified to perform a medical screening examination (MSE).

Findings include:

The Hospital's ED log dated, January 2018, presented to the Surveyors on 2/20/18, did not indicate Patient #1's visit to the ED on 1/1/18.

The Surveyor observed, at 10:00 A.M. on 2/20/18 in the ED's electronic medical record, that Patient #1 arrived to the ED on 1/1/18.

The ED Registration Supervisor was interviewed at 10:40 A.M. on 2/20/18. The ED Registration Supervisor said that Patient #1 came into the ED and then decided to leave so I canceled the reservation in the computer.

The Director of Risk Management and the Director of the Emergency Department were interviewed together at 1:30 P.M. on 2/20/18. The Director of Risk Management said that because the ED registration clerks have access to cancel a reservation in the electronic system, the presentation of Patient #1 was not recorded in the Hospital's ED log.

The Hospital's Medical Staff Bylaws, Rules and Regulations, dated 11/27/17, did not identify or specify the individuals qualified to conduct MSEs.