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Based on document review, manufacturer's instructions review, staff interview, and policy review, the facility failed to ensure the overall hospital environment is developed and maintained in a manner to assure the safety and well- being of patients.


Findings Include:

Review of the facility's temperature logs for the hydrocollator revealed the last temperature check was completed on 3/7/17. Review of the operation manual for the hydrocollator revealed the recommended temperature of the water should be checked with a thermometer after every adjustment, before using the HotPacs. The tank should also be drained and cleaned systematically, at a minimum every two (2) weeks.

During an interview on 05/22/17 at 11:20 a.m. the Rehabilitation Technician stated, "We do temperature checks everyday but do not write them down. We use the hydrocollator 1-2 times a month." The Rehabilitation Technician confirmed the last documented temperature check on the hydrocollator was completed on 3/17/17 and there was no documentation of the hydrocollator being cleaned.

Review of the facility's "Post Over Equipment" policy (not dated) revealed, "... Hydrocollator Tanks once a month or every other month depending on use clean as follows: unplug machine Remove all Hydrocollator packs and discard those that are damaged. Remove all residues and disinfect in diluted bleach solution (ratio 1:9). Rinse thoroughly. Refill to proper level with clean water. Monitor temperature daily and record each day of use. Temperature should be maintained at 165 to 170 degrees Fahrenheit."

Based on document review, manufacturer's instructions review, staff interview, and policy review, the facility failed ensure the Hydrocollator is maintained to ensure an acceptable level of safety and quality.


Findings Include:


Cross Refer to A0701 for the facility's failure to ensure the Hydrocollator is maintained to ensure an acceptable level of safety and quality.