HospitalInspections.org

Based on record review and interview the psychiatric hospital failed to ensure each patient/patient representative was informed of patient rights. This deficient practice is evidenced by failure to inform patient/patient' representative of patient's rights in advance in a language or manner non-English speaking Patients #1 and #2 could understand.
Findings:

Review of psychiatric hospital's policy titled "Patient Rights", approved 01/2024, revealed in part: Community Care Hospital supports and protects the basic human, civil, and constitutional rights of all patients. All patients have the right to ...6. receive, as soon as possible, the services of a translator or interpreter to facilitate communication between the patient and the hospital's health care personnel ...7 ...participate in the development and implementation of his/her plan of care ...

Patient #1
Review of Patient #1's medical record revealed an admission date of 08/19/2024 with diagnoses Major depressive disorder and anxiety disorder.

Review of Biopsycholsocial Assessment dated 08/20/2024 revealed primary language was Spanish.

Review of Conditions of Admission and Consents dated 08/19/2024 at 12:22 p.m. failed to reveal evidence the psychiatric hospital used an interpreter/translator to assist with Patient #1's understanding and agreement with the acknowledgment of his rights as a patient, privacy rights, restraint rights, safe keeping of his personal property, and end of life decisions.

Patient #2
Review of Patient #2's medical record revealed an admission date of 08/07/2024 with diagnoses substance abuse, psychosis and anxiety.

Review of Psychiatric Evaluation dated 08/07/2024 revealed patient's primary language was Spanish.

Review of Conditions of Admission and Consents dated 08/07/2024 at 5:15 a.m. failed to reveal evidence the psychiatric hospital used an interpreter/translator to assist with Patient #1's understanding and agreement with the acknowledgment of his rights as a patient, privacy rights, restraint rights, safe keeping of his personal property, and end of life decisions.

In an interview on 09/24/2024 at 8:40 a.m., S2DON confirmed the above findings regarding Patient #1 adn Patient #2.

Based on record review and interview the psychiatric hospital failured to use an interpreter/translator to assist non-English speaking patients #1 and #2 in understanding and agreeing with multiple consents found in the Conditions of Admissions and Consents packet.
Findings:

Review of psychiatric hospital's policy titled "Informed Consent", approved 01/2024, revealed in part: ... Consents shall be obtained by the patient or legal representative and placed in the patient's medical record for: treatment by psychiatric hospitalization, treatment by medical procedure, informed consent for medication, general nursing duty, restraint & seclusion, audio/video surveillance, patient identification photography, ineligibility of medication/drug possession, emergency agreement, transport release, personal valuables, bill of rights, assignment of insurance benefits, financial agreement, release of information, notice of advanced directives, privacy practices ...Procedure: Consent for psychiatric and medical treatment shall be signed by the patient or legal guardian at the time of admission and is valid for the duration of the current hospital admission.

Patient #1
Review of Patient #1's medical record revealed an admission date of 08/19/2024 with diagnoses Major depressive disorder and anxiety disorder.

Review of Patient #1's Biopsycholsocial Assessment dated 08/20/2024 revealed patient's primary language was Spanish.

Review of Conditions of Admission and Consents failed to reveal evidence the psychiatric hospital used an interpreter/translator to assist with Patient #1's understanding and agreement with the acknowledgment of his informed consent to treat: Psychiatric Hospitalization, Consent to Medical Procedures, Informed Consent for Medications, General Duty Nursing Audio/Video Surveillance, Patient Identification photography, Drugs, Emergency Agreement, Transport Release, Assignment of Insurance Benefits, Financial agreement, and Release of Information.

Patient #2
Review of Patient #2's medical record revealed an admission date of 08/07/2024 with diagnoses substance abuse, psychosis and anxiety.

Review of Patient #2's Psychiatric Evaluation dated 08/07/2024 revealed patient's primary language was Spanish.

Review of Conditions of Admission and Consents failed to reveal evidence the psychiatric hospital used an interpreter/translator to assist with Patient #2's understanding and agreement with the acknowledgment of his informed consent to treat: Psychiatric Hospitalization, Consent to Medical Procedures, Informed Consent for Medications, General Duty Nursing Audio/Video Surveillance, Patient Identification photography, Drugs, Emergency Agreement, Transport Release, Assignment of Insurance Benefits, Financial agreement, and Release of Information.

In an interview on 09/24/2024 at 8:40 a.m., S2DON confirmed the above findings regarding Patient #1 and Patient #2.