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Based on observation and interview, the facility failed to ensure the emergency crash carts (a cart that contains emergency supplies to rapidly treat a patient experiencing an unexpected emergency medical event) were maintained with current supplies and medication in 3 of 4 departments. Crash carts in the Labor and Delivery, Neonatal, Medical Surgical unit, and Orthopedic unit were opened and expired supplies and medication were observed. This deficient practice placed all patients at risk for harm.

During a tour of the Labor and Delivery unit, Neonatal unit, Medical Surgical unit, and Orthopedic unit on 12/05/2016 from 3:00 PM to 4:00 PM the following expired supplies and medications were observed:

Findings:

Labor and Delivery Crash Cart:

Multiple Lumen CVC- Kit expired 10/2016

Percutaneous Sheath Introducer Kit 7-7.5 French expired 11/2016

The crash cart had just been checked and signed off by Staff #11 (Registered Nurse) that works the night shift on 12/04/2016. Twelve (12) hours prior to the surveyor checking the crash cart.

Neonatal Unit Crash Cart:

Insyte Autoguard Catheter size 24 X 2 expired 11/2016

Dextrose 10% 500 cc intravenous bag of fluid X 1 expired 11/2016

Multiple Lumen CVC- Kit expired 10/2015

Percutaneous Sheath Introducer Kit 7-7.5 French expired 05/2015

The crash cart had just been checked and signed off by Staff #12 (Registered Nurse) that works the night shift on 12/04/2016. Twelve (12) hours prior to the surveyor checking the crash cart.

Orthopedic Crash Cart:

Insyte Autoguard Catheter size 24 X 4 expired 06/2015

Insyte Autoguard Catheter size 24 X 5 expired 11/2016

Insyte Autoguard Catheter size 20 X 3 expired 11/2015

Insyte Autoguard Catheter size 18 X 5 expired 07/2015

Insyte Autoguard Catheter size 16 X 4 expired 05/2015

Insyte Autoguard Catheter size 14 X 5 expired 07/2016

Lactated Ringers 1000 cc X 1 expired 08/2016

Dextrose 5% Lactated Ringers 1000 cc X 1 expired 07/2015

Dextrose 5% in Water 500 cc X 2 expired 06/2016

Dextrose 5% in Water 250 cc X 2 expired 08/2016

Normal Saline 1000 cc X 1 expired 08/2015

Normal Saline 1000 cc X 1 expired 06/2016

Normal Saline 1000 cc X 1 expired 09/2016

Normal Saline 500 cc X 2 expired 05/2016

Normal Saline 250 cc X 2 expired 06/2015

Normal Saline 250 cc X 1 expired 07/2015

Gloves Size 6 ½ X 2 expired 12/2015

Gloves Size 7 X 1 expired 10/2015

Gloves Size 7 X 1 expired 10/2016

Gloves Size 7 ½ X 3 expired 09/2015

Gloves Size 8 X 2 expired 11/2015

Gloves Size 8 X 1 expired 04/2016

Normal Saline flushes 10 cc X 5 expired 11/2016

Dressing Change Chloraprep X 1 expired 02/01/2016


Broselow Hinkle Pediatric Emergency System Cart: (located in the Orthopedic Unit)

Pink/Red pediatric bag of supplies had expiration dates of 03/2016 and 07/2016

Blue pediatric bag of supplies had expiration date of 03/2016

Purple pediatric bag of supplies had expiration date of 03/2016

Green pediatric bag of supplies had expiration date of 03/2016

Intravenous Start Kit X 3 05/2016

Intravenous Start Kit X 1 10/2016

Extension set X 1 expired 12/1/216

Insyte Autoguard Catheter size 24 X 1 expired 09/2016

Insyte Autoguard Catheter size 24 X 2 expired 11/2016

Insyte Autoguard Catheter size 22 X 5 expired 11/2016

Insyte Autoguard Catheter size 20 X 1 expired 10/2016

Insyte Autoguard Catheter size 20 X 2 expired 11/2016

Insyte Autoguard Catheter size 18 X 1 expired 09/2016

Insyte Autoguard Catheter size 18 X 1 expired 10/2016

The crash cart had just been checked and signed off by Staff #13 (Registered Nurse) on the morning of 12/05/2016. The surveyor checked the crash cart that afternoon of 12/05/2016.


An interview with Staff #3 on 12/05/2016 at 4:00 PM confirmed the above findings of the expired supplies and medication found in the crash carts in the Labor and Delivery unit, Neonatal unit, and the Orthopedic unit.