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Based on review of the medical record, facility policies and staff interview the emergency department staff restrained a patient without any physician order.

Findings were:

On 12/23/09 at 1920, patient #1 left the hospital barefoot and in only a hospital gown. (On 12/23/09 the weather in Lubbock, TX was stormy all day with a mixture of rain and snow precipitation) Two nurses walking to their cars recognized the patient. They stopped her and escorted her back to the building with a security guard. Once in the building she was placed in a room alone with the door closed and blinds drawn; her behavior was documented as agitated, impulsive, inappropriate and uncooperative.
After being brought back to the ED room, this patient was placed in handcuffs by the security guard who is a DPS officer. There was not a physician order for these restraints.
Interview with the Risk Manager and Accreditation Coordinator confirmed the above findings.

Based on review of the medical record, facility policies and staff interview, the emergency department staff restrained a patient and the restraints continued until her discharge.

Findings were:

On 12/23/09 at 1920, patient #1 left the hospital barefoot and in only a hospital gown. (On 12/23/09 the weather in Lubbock, TX was stormy all day with a mixture of rain and snow precipitation) Two nurses walking to their cars recognized the patient. They stopped her and escorted her back to the building with a security guard. Once in the building she was placed in a room alone with the door closed and blinds drawn; her behavior was documented as agitated, impulsive, inappropriate and uncooperative.
After being brought back to the ED room, this patient was placed in handcuffs by the security guard who is a DPS officer at or about 1920. The restraints were not removed until her discharge at 2008. Interview with the Risk Manager and Accreditation Coordinator confirmed the above findings.

Based on review of the medical record, facility policies and staff interview the emergency department staff restrained a patient without any documentation of training or competency in this procedure.

Findings were:

On 12/23/09 at 1920, patient #1 left the hospital barefoot and in only a hospital gown. (On 12/23/09 the weather in Lubbock, TX was stormy all day with a mixture of rain and snow precipitation) Two nurses walking to their cars recognized the patient. They stopped her and escorted her back to the building with a security guard. Once in the building she was placed in a room alone with the door closed and blinds drawn; her behavior was documented as agitated, impulsive, inappropriate and uncooperative.
After being brought back to the ED room, this patient was placed in handcuffs by the security guard who is a DPS officer. The hospital security guards are not trained in restraint procedures. Interview with the Risk Manager and Accreditation Coordinator confirmed the above findings.