HospitalInspections.org

Intakes: TN00039256

Based on policy review, medical record review and interview, the facility failed to ensure care was provided in a safe manner, related to allergy assessment and treatment, for 1 of 3 (Patient #2) sampled patients.

The findings included:

1. The facility's "Latex Allergy" policy documented, "...All patients admitted to [stated facility]and its services will be assessed for a history of latex allergy. Individuals with known sensitivity to latex or individuals at high risk to develop latex sensitivity should be treated as if they have a known allergy...Employees providing direct patient care are responsible for obtaining latex free supplies for those patients identified to be at great risk for developing latex sensitivity and/or those patients with a known latex sensitivity..."

2. Medical record review for Patient #2 revealed a Patient Demographics screen, dated 5/17/16. Latex is listed on the allergy screen with a statement that documented, "...patient denies having a reaction/entered due to multiple environmental allergies per latex screening..."

Patient #2's operative report documented the date of surgery as 5/23/16. Documentation in the pre-operative narrative at 6:14 AM on 5/23/16, stated that the allergy band was "on". A Pre-Anesthesia & Sedation Assessment and Plan, dated 5/23/16, documented, "Allergies: ...latex..." An anesthesia intra-operative note, dated 5/23/16, documented, "...Allergies...latex..." The operative report on 5/23/16 documented, "...A foley catheter was placed..."

Patient #2's Discharge Summary documented, "...the patient was noted to have what appeared to be a contact dermatitis...presumably secondary to Latex allergy from a Latex foley that had been placed for bladder drainage after cystotomy repair..."

3. During an interview with the Quality Director on 8/1/16 at 12:00 PM in the administration office, the Director verified that the foley catheter placed during surgery was a latex foley catheter.

4. During an interview with the Customer Relations representative on 8/1/16 at 11:20 AM in the administration office, the representative verified that the operating room did not have Patient #2's procedure listed as a latex allergy case.