HospitalInspections.org

Based on surveyors' observations and interviews with hospital staff, the hospital failed to ensure the surgical environment was maintained to assure a sanitary environment and the safety and well-being of patients.

Findings:

A tour of the surgical department (OR) was conducted on the morning of 12/01/14 with Staff F and G.

The sterile processing room was open to the semirestricted area of the OR.

Corrugated boxes and acoustic ceiling tiles were observed in the sterile processing and wrap rooms.

There was no sign to identify the wrap room.

Corrugated boxes, two intravenous (IV) poles, a portable radiation shield, metallic rolling tables, two C-Arm machines and housekeeping cleaning supplies were observed in the semi-restricted hallway of the OR.

Supplies stored in corrugated boxes in the "Core Room".

A ceiling tile was missing from the biohazard room.

A rolling chair in the core room was covered with Coban.

An unlocked door in the public hallway that lead into the semirestricted area of the OR, is used by the radiology staff to enter the OR suite.

Radiology staff was seen entering the semirestricted and restricted area of the OR from this entrance. The radiology staff did not don the appropriate attire prior to entering the OR suite.

Based on observation and staff interview, it was determined the hospital failed to store trash generated in the surgical department (OR) as required.

Findings:

A tour of the surgical department (OR) was conducted on the morning of 12/01/14 with Staff F and G.

A large trash (greater than 32 gallons) receptacle was stored in the "Core Room" in the semi-restricted area of the OR.