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Tag No.: A2405
Based on clinical record review, policy review, and interview, it was determined the facility failed to ensure 1 (1) of 25 (#1-#25) patient was placed on the Emergency Department (ED) Log. Failure to place the patient on the ED Log did not ensure the facility had a means of tracking the patient for emergency medical treatment. The failed practice affected Patient #1 and had the likelihood to affect all patients presenting to the ED. Findings follow:
A. Review of Policy and Procedure "Transfer to Another Facility or Nursing Home", revised September 2006, showed identifying information for all persons presenting to the Emergency Department (ED) shall be entered into a Central Log maintained in both the ED and the Obstetrics Department.
B. Review of the ED Log dated from 10/01/2024 to 02/28/2025 showed no evidence Patient #1 was registered on the ED Log.
C. During an interview on 03/05/2025 at 1:00 PM, the Risk Manager confirmed the findings in A and B.