HospitalInspections.org

Based on interview with staff and a review of documentation, the governing body failed to be responsible for services furnished in the hospital.

Findings were:

A review of facility policy HRS-9010 titled "Employee Counseling " states, in part, STANDARDS OF CONDUCT 1.) Employees are expected at all times to conduct themselves in a positive manner in order to promote the best interests of St Mark ' s Medical Center. Appropriate employee conduct includes: a.) Treating all customers, visitors and coworkers in a courteous manner ...2.) ...The following examples of impermissible behavior described below are not intended to be an all-inclusive list ...l.) Unsatisfactory performance or conduct (for example: Gambling on SMMC property, playing pranks or engaging in horseplay, using profanity or abusive language; "

A review of facility policy ADM-212 titled " Code of Conduct " states, in part, " III. Guiding Principles A.) Quality of Care 1.) e.) I will communicate to patients in a clear, professional, informed and understandable manner ...f.) I will treat all customers, including patients, families, physicians, co-workers and all outside contacts, with courtesy, dignity, respect and professionalism. "

In a (telephonic) interview with Dale Butts RN on 2-21-12 at 1005, he confirmed that he said to the patient on 1-14-12 (in part) "you just shit all over me."

The above was confirmed in an exit conference with the Chief Operating Officer, the Chief Nursing Officer, The Chief Executive Officer and the Emergency Room Director on the afternoon of 2-21-12 in the facility conference room.