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Based on record review, and interview the facility failed to provide a safe setting by not educating 2 (P#1, P#11) of 3 (P#1, P#11, P#12) patients on how to use a call light in patient room. This failed practice has the potential for patients to not recieve needed emergent medical assistance due to the inability to use call light.
The findings are:

A) Record review of P#1, P#11, and P#12 emergency room timeline in medical charts revealed no documentation that patients had been educated on how to use the call light and where it was located in the patient room.

B) On 01/14/20 at 9:31 am during interview, P#1 in room Y16, stated "I didn't know I had a call light in the room. I was peeing and pooping myself and I was yelling, I think the room was by the nurses station but no one came in."

C) On 01/14/20 at approximately 1:00 pm during interview, P#11 in ED room Y16, stated, "No one educated me on call light use, the nurse [RN] left the IV dry, she [RN] was rude, and I begged for a social worker. I have been waiting a long time."

D) On 01/14/20 at approximately 1:15 pm during interview, S#10 RN stated, "We ask the patient to put on a gown and give them the call light but in room Y16 and Y20 they just have a simple call light and not one with TV remote like the other rooms. I have never charted call light in reach and never would even know where to chart it."

E) On 01/14/20 at 11:17 am during interview, S#6 MSN (Masters Social RN) . RN Clinical Accredited Regulatory Director was asked about not documenting call light education for patients in ER. She stated "it is a huge fix for EPIC and looking to fix it in the future."

F) On 01/14/20 at 10:50 am S#2 RN ED Manager stated "we don't know if they [patients] know how to use call lights." S#2 further confirmed there is a place in EPIC to document teaching of the call light to patients and the ER nurses do not use it.