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Tag No.: A0395
Based on medical record review, policy review and staff interview it was determined the registered nurse failed to evaluate nursing intervention, patient response and status on discharge for one (#2) of ten records reviewed related to intravenous therapy.
Findings include:
Patient #2's physician orders dated 5/6/2015, the day of discharge, indicated to discontinue the Peripherally Inserted Central Catheter (PICC) line. Review of nursing documentation for 5/6/2015 revealed no documentation the PICC line was discontinued.
Review of the policy and procedure titled "Intravenous Therapy" last revised 3/2015, stated on page 2, #1 Intravenous therapy ...and/or maintain venous access, according to physician (or LP) orders.
The findings were confirmed by the Risk Manager on 5/19/2015 at approximately 2:30 p.m.