HospitalInspections.org

Based on an unannounced complaint investigation PR00000660, abbreviated survey, observations performed on August 16 through 18, 2022 from 8:00 AM till 4:00 PM with the associate nursing department director (employee #5) and the nursing emergency room nursing supervisor (employee # 6) it was identified that facility failed to maintain adequate facilities for its services.

Findings include:

1. During the initial observational tour at the emergency room department, the following was observed on the area on 08/16/2022 at from 10:00 AM through 11:50 AM:

a. Women's bathroom facilities located on emergency department waiting area, nurse call system does not have the call cord to activate the system.

b. Men's bathroom facilities located on emergency department waiting area nurse call system had the call cord to activate the system too short (about 2 inches long). In the event that a patient had an emergency and fall to the floor he/she cannot activate the system.

c. Trauma room floor was observed in need of maintenance.

d. A stainless steel cabinet located inside the trauma room use to storage medical surgical materials and orthopedics items was observed with rust.

e. A multigender bathroom located inside emergency room was observed with walls in need of cleaning and the floor need repair.

f. In the observation area in front of cubicle stretcher # 2 and # 3 was observed a round hole on the floor (of approximate 2 inches long and approximate an inch deep).

g. Two carts located on the observation area, used to store items used for blood sampling and venipuncture was observed with residue of label and medical surgical tape glue and in need of cleaning.

h. At the right side of cubicle #22 facility had an area designated to store 2 hampers of dirty linens. This area had wooden shelve with broken and peeled wood.

Based on a complaint investigation, observations made during the survey for the physical environment with the facility's engineer (employee # 4), it was determined that the physical structure and care areas failed to provide proper humidity on the intensive care unit on the 6th floor which can affect 3 out of 3 at the intensive care unit.

Findings include:

The intensive care unit on the 6th floor was visited on 08/17/22 at 10:10 AM and provided evidence of 69.8 degree (º) Fahrenheit 70 percent (%) of humidity on the patient care area, during the day at 2:23 PM the temperature and humidity parameters were rechecked and the patient care area present 71.96º Fahrenheit and 72% of humidity in the patient care area and 74.8º Fahrenheit and 60% of humidity in the surgical care material room.

On 08/18/22 at 11:40 AM the intensive care unit was revisited, and the temperature was on 69.44º Fahrenheit and the humidity in 60% and 74.8º Fahrenheit and 60% of humidity in the surgical care material room.

The facility fails to maintain the humidity parameters from 30% to 60%.

During the investigation the temperature and humidity register for year 2022 was verify and it was found that the facility has the humidity parameter out of range in multiples occasions. The temperature and humidity register for year 2022 is attached.

Based on an unannounced complaint investigation PR00000660, abbreviated survey, observations performed at Operation Room with the Nurse Manager (employee #1) and Sterilization Nurse (employee #2), it was determined that the facility failed to ensure that employ method to prevent and controlling the transmission of infection related to operation room equipment with rust and cracks on the floor of the operation rooms.

Findings include:

During the initial tours performed on the operation Room Department on 08/16/2022 from 9:00 am till 2:00 PM and 08/17/2022 from 9:00 AM till 12:00 PM it was found the following:

1.On 0817/2022 at 9:21 AM in the operation room #7, it was observed the following:

a. The floor near to the wall was observed with crack on the floor around the suite, that do not permit an effective cleaning and disinfection of the operation suite.

b.The documentation table was observed with rust around the wheels.

c.The scrub tray was observed with rust around the wheels.

d. In the hall was observed a blue table with peeling paint and rust.

2. In the operation room #1, it was observed the following:

a. Tape on the floor to cover machine cable.

b. A chair with broken vinyl.

c. A table with rust around the wheels.

d. The anesthesia cart was observed with peeling paint.

e. The thermometer was observed with rust.

f. The scrub tray was observed with rust around the wheels.

g. A round chair was observed with broken vinyl that does not permit the appropriated cleaning and disinfection.

3. In the operation room #2 (urology suite) it was observed the following:

a. The anesthesia cart was observed with peeling paint.

b. In the hall near to the suite was observed a tray with rust.

4. It was observed the Coviden Forectrige machine in a blue table with peeling paint and rust.

Based on an unannounced complaint investigation PR00000660, abbreviated survey, observations performed at Operation Room with the Nurse Manager (employee #1) and Sterilization Nurse (employee #2), it was determined that the facility failed to ensure the achievement and maintenance of high standards of medical practice and patient care, related to equipment with rust, chair with broken vinyl, open anesthesia cart, medication available for unauthorized person.

Findings include:

During the initial tours performed at the operation Room Department on 08/16/2022 from 9:00 AM till 2:00 PM and 08/17/2022 from 9:00 AM till 12:00 PM it was found the following:

1. On 8/16/2022 at 10:30 AM, in the operation room # 8 that was not in use, it was found the anesthesia cart open with a close vial of Propofol and a bottle of Sevoflurane (Inhalation Anesthetic) available for unauthorized personnel.

2. On 08/16/2022 at 11:00 AM, in the operation room #4, that was not in use, it was found the anesthesia cart open with a close vial of Propofol available for unauthorized personnel.

3. On 08/16/2022 at 12 PM, in the operation room #3, that was not in use, it was found in the anesthesia cart open with a close vial of Propofol available for unauthorized personnel.

4. On 08/17/2022 at 9:21 AM in the operation room #7, it was observed the following:

a. The floor near to the wall was observed with crack in the ground around the suite, that do not permit an effective cleaning and disinfection of the operation suite.

b. The documentation table was observed with rust around the wheels.

c. The scrub tray was observed with rust around the wheels.

d. In the hall was observed a blue table with peeling paint and rust.

5. It was found the anesthesia cart opened in the operation room #1 , it was observed the following:

a. Tape in the floor to cover machine cable.

b. A chair with broken vinyl.

c. A table with rust around the wheels

d. the anesthesia cart was observed with peeling paint.

e. The thermometer was observed with rust.

f. The scrub tray was observed with rust around the wheels.

g. A round chair was observed with broken vinyl that does not permit the appropriate cleaning and disinfection.

6. In the operation room #2 (urology suite) it was observed the following:

a. The anesthesia cart was observed with peeling paint.

b. In the hall near to the suite was observed a tray with rust.

7. It was observed the Coviden Forectrige machine in a blue table with peeling paint and rust.