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Tag No.: A0582
Based on recod review and interview, the hospital failed to ensure adequate laboratory services were available to meet the needs of the patients.
This failed practice has the likelihood to result in delayed recognition and/or treatment of patients functional status and quality of life.
Findings:
Review of records: 4 of 6 charts reviewed showed that ABGs were not completed on patients as ordered by the provider from 10/19/23 through 11/20/23.
Patients #2, 3, 4 and #6 did not receive ABGs as part of the labs ordered on admission. The ABG Analyzer was out of cartridges and no ABG tests where able to be completed on site. There was no backup lab close enough to complete ABGs in the 30-minute time frame that is required for processing prior to sample breakdown and sample is no longer viable.
Maintenance Log for Arterial Blood Gas Analyzer shows entries made from 10/19/23 through 11/20/23 had a line drawn or the word "out" was written in lieu of a value.
Interview with Staff A on 11/21/23 at 01:30 p.m. stated the cartridge supply for the ABG Analyzer was out of stock from 10/19/23 through 11/20/23. Staff A Stated that they realized doctor's orders were not able to be followed and that they had a problem with ordering supplies for ABG Analyzer.