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TAMPA GENERAL HOSPITAL
PATIENT RIGHTS: RESTRAINT OR SECLUSION
Tag No.: A0168
Based on clinical record review, policy review and staff interview it was determined the facility failed to ensure an order was obtained for restraints on 1 (#4) of 10 sample patients.
Findings include:
Patient #4 was initially ordered restraints on 11/16/13 for pulling tubes and lines out. Further review of the patients clinical record revealed the patient was in restraints on 11/23/13, but there was no order by the physician to continue the restraints for 11/23/13.
An interview with a registered nurse on 11/25/13 during the chart review at 12:20 p.m. confirmed the findings. The nurse stated there should be an order every 24 hours.
A review of the facility's policy, Patient restraints/Seclusion, policy # TX-113, reviewed 2/13,page 5 of 7,revealed orders must be entered at a maximum of every 24 hours, after a face to face evaluation by the patients physician.