Bringing transparency to federal inspections
Tag No.: A0747
Based on observation and interview the hospital failed to provide a sanitary environment to avoid sources and transmission of infections and communicable diseases.
Findings:
A) During one of one surgical procedure observed, in the OR, on 9/14/2016 at 10:17 AM, the surveyor witnessed an open, uncoiled, arthroscopy tubing set fall to the floor. RN#1 then picked the tubing up from the floor and connected it to the bag of fluid which was then used during the surgical procedure.
St. John Owasso's Quality Manager also observed the surgical procedure.
During interview with the OR Manager on 9/14/2016 at 2:40 PM, the OR Manager acknowledged the tubing had fallen to the floor and added "Both ends were still covered."
The surveyors asked for Infection Control policies in OR. No policies were provided.
B) During one of one surgical procedure observed on 9/14/2016 at 10:17 AM, the surveyor witnessed staff, in the OR, wearing shoes with shoe covers and three persons (CRNA#1, RN#2, & MD#1) wearing shoes without shoe covers during the procedure, in the OR.
During interview with the DON and CNO on 9/14/2016 at 2:15 PM, the surveyor asked about shoe covers in the OR. The response was that if the person does not have "OR shoes" they have to wear shoe covers. However, many of the staff have OR shoes that they change into when they dress for surgery. When the surveyor asked for clarification as to exactly where the OR shoes could be worn, surveyor was told "in the surgical suite."
During an interview with the OR Manager on 9/14/2016 at 2:40 PM. The surveyor was told that OR shoes " ...could be worn anywhere in the hospital."
The surveyors asked for OR policy concerning foot coverings. No policies were provided.