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Based on review of two weeks of nurse staffing assignments, dated 12/25/17 through 12/30/17 and 12/31/17 through 1/6/18, the Hospital failed to ensure that the nursing staff were assigned to each patient on the unit to identify a nurse was nurse assigned to each patient in order to identify who was assigned to meet the individual needs of each patient.

Findings include:

Nurse Staff Assignments for the three shifts (Day: 7:00 A.M.-3:00 P.M., Evening: 3:00 P.M.-11:00 P.M. and Night Shift: 11:00 P.M. -7:00 A.M) indicated the following:

Day Shift Nurse Assignments, dated 12-24, 12-25, 12-27, 12-28, 12-30 and 12-31-17 and for 1-1, 1-2, 1-3, 1-4 and 1-5-18, indicated the Charge Nurse assigned room numbers, not patients to the assignments.

Evening Shift Nurse Assignments indicated a registered nurse was assigned to each patient, identified by name not a room number.

Night Shift Nurse Assignments, dated 12-25-17 to 1-3-18, indicated that a registered nurse was assigned a room number and did not identify that each nurse was assigned to a patient.

Based on observation and document review the hospital failed for two (Patient #2 and Patient #3) of three patients observed, from a total sample to ten, to ensure nursing staff labeled all peripheral intravenous tubing as required by Hospital policy and procedure.

Findings include:

The policy and procedure titled Peripheral Intravenous (IV) Insertion and Intravenous Therapy, dated 2/1/18, indicated that IV tubing will be labeled. The policy does not indicate what must be on the label (standard of practice date, time and staff nurse name).

The Surveyor observed, during a tour of the Nursing Unit from 8:30 A.M. to 9:00 A.M. on 8/22/18, that Patient #2 and Patient #3 were receiving IV fluids. The IV tubing for Patient #2 and Patient #2 IV fluids was not labeled.