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NORTH AUSTIN MEDICAL CENTER
PATIENT RIGHTS: CARE IN SAFE SETTING
Tag No.: A0144
Based on record review and interview it was determined the facility failed to ensure care in a safe setting.
Finding included:
A History and Physical completed by a birthing center in Austin was sent with Patient #1 during an emergency transfer to St. David's North Austin Medical Center. This History and Physical documented the patient's allergies as "chlorahexidine: Hives (moderate to server)" and "chloropracaine."
A review of Patient #1's medical record revealed a transcription error in the Intraoperative Record and Labor and Obstetric Anesthesia record at St. David's North Austin Medical Center. Patient #1's allergy was recorded as Duraprep instead of chloraprep (chlorahexidine) in error. The Intraoperative Record indicates chloraprep, the patients known allergy was used as the "surgical skin prep" prior to initiation of the patient's cesarean section surgery. Due to this transcription error, Patient #1 had an allergic reaction.
The above finding were confirmed in an interview with the Assistant Chief Nursing Officer, Staff #3.