HospitalInspections.org

Based on medical record review, interview, and review of the facility's Policy and Procedures, 2 of 10 discharge patients failed to have a complete discharge without the signature of the physician (Patients #3 and #5).

The findings include:

Record review of Patient #3 did not reveal a signed completed discharge by the physician within 30 days. Further review of the medical record revealed that the patient was admitted voluntarily on 01/05/18 at 11:50 AM to the acute psychiatric unit for suicidal ideation. The patient was placed on one to one (1:1) due to aggressive behaviors to another patient and discharged to law enforcement on 01/05/18. at 9:30 PM.

Record review of Patient #5 did not reveal a signed and dated completed Discharge Plan Part I by the physician within 30 days. Further review of the medical record revealed that the patient was admitted involuntarily of a Baker Act on 12/17/17 to the acute psychiatric unit for suicidal ideation. Discharged on 12/22/17.

Review of the facility's Policy and Procedures titled Discharge Summary/Termination Report revealed the following:
Policy: A Discharge Summary shall be completed following the discharge within a reasonable length of time, and not to exceed 30 days for Acute Care and 15 days for Intensive Residential Treatment. A completed discharge summary means that the summary is dictated and signed.