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Based on observation, document review, and staff interview, the facility failed to ensure that notification was made to LRCA (Local Rabies Control Authority) following patients presenting with animal bites to the emergency department. This was not in compliance with facility policy.


Findings included:


Facility policy "Management of Patients with Animal Bites Presenting to the Emergency Department" stated, in part, "For patients presenting to the Emergency Department with animal bite(s):

1. Triage assessment should include
1.1 Circumstances of the incident;
1.2 History and status of the animal regarding identification and immunization status;
1.3 Description of the wound(s);
1.4 History of the patient's tetanus immunization.

2. For animal bites occurring within Austin City Limits, notify the City of Austin-Police Department-411
3. For animal bites occurring outside the city limits notify the Sheriff's Department for the county in which it occurred.


A review of medical records for patient #18 and #20 during the investigation was missing documentation in the emergency medical record that notification was made to the proper authorities as per facility policy regarding animal bites.

The quality control manager verified that there was no existing paper log or other documentation stating notification had been made in 2 of 2 emergency room records reviewed for animal bites.