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MEDICAL CITY LEWISVILLE
RN SUPERVISION OF NURSING CARE
Tag No.: A0395
Based on record review and interview, the facility failed to ensure a registered nurse supervise and evaluate the nursing care for each patient, in that, 1 of 8 patients (Patient #1) had a rash and the nurse did not report the rash to the physician.
Findings included
Patient #1 had a rash on his chest documented on 10/30/2019 and 10/31/2019.
There was no documentation of the nurse reporting the rash to a physician.
Patient #1's nurse documentation reflected, "10/30/2019 08:00 Rash/Hives, Anterior Chest Intact Skin: Yes ...10/31/2019 07:45 Rash/Hives, Anterior Chest Intact Skin: Yes ..."
During a telephone interview on 1/21/2020 at 3:30 PM, Personnel #4 (Accompanied by Personnel #2) was asked if nursing notified him of the rash that was documented. Personnel #4 stated, "No. I was not aware of a rash. Don't think I was notified. I don't remember seeing a rash or the family asking about one." Personnel #2 was asked if the nurse should have notified the physician of the rash. Personnel #2 stated, "Yes. Should have."