HospitalInspections.org

Based on record review and interviews with hospital staff, the hospital does not ensure a practitioner authorized to write orders by hospital policy and in accordance with State law and who is responsible for the care of the patient as specified under CFR 482.12(c) is writing orders for patients. Three (#'s 6, 12 & 13) of five patient records which had telephone/verbal orders, progress notes and history and physicals written by a fourth year medical student who was not authorized to write orders without supervision by the ordering physician. There was no documentation in Patient # 12's record that the patient was ever seen by the admitting physician during the patient's stay. The patient was admitted on 09/07/11 and discharged on 09/10/11.