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CONNECTICUT MENTAL HEALTH CENTER
PLAN INCLUDES SPECIFIC TREATMENT MODALITIES UTILIZED
Tag No.: B0122
Based on record review and staff interview, the hospital failed to identify the specific modalities for which the MD and the RN named in the Master Treatment Plans (MTP) were responsible for 6 of 8 active sample patients (A3, A4, A5, A6, A7, and A8). Specifically in the MTP of these patients, under the heading of "Treatment interventions and frequency," a list of interventions was listed and under the heading "Responsible Staff," the names of MD and RN were listed, without assigning specific responsibility to the identified MD or RN for each of the interventions in the list. Failure to assign specific responsibility for each intervention diffuses responsibility and accountability and can result in patient's treatment needs not being addressed in timely fashion.
Findings include:
Record Review (MTP dates in parenthesis)
The review of the Master Treatment Plans of the active sample patients A3 (4/1/11), A4 (4/11/11), A5 (4/8/11), A6 (4/1/11), A7 (4/4/11) and A8 (4/4/11) revealed that under the heading of "Treatment Interventions and Frequency" a list of interventions was listed and next to it, under the heading "Responsible Staff", the names of an MD and an RN were listed. None of the interventions in the list specified whether the named MD or the named RN was responsible for the intervention.
Staff Interview:
1. In an interview on 4/12/11 at approximately3PM, the Medical Director agreed that the Master Treatment Plans of the sample patients A3, A4, A5, A6, A7 and A8 did not specify whether the MD or the RN was responsible in carrying out the documented interventions. The Director stated, "It should have been specified."
2. In an interview on 4/12/11 at 11:30am, RN1, RN2, and RN 3 agreed that the responsibility for interventions was not clearly delineated between the indentified MD and RN.
3. In an interview on 4/12/11 at 2:30pm, the Director of Nursing concurred that the responsibility for interventions was not clearly delineated between the RN and the MD. She stated that this was an issue that the facility had already identified and was beginning work on.