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BON SECOURS MARYVIEW MEDICAL CENTER
PATIENT RIGHTS: RESTRAINT OR SECLUSION
Tag No.: A0175
Based on document review and interview, it was determined that the facility staff failed to ensure ongoing monitoring, assessment and documentation for patients in restraints to include skin integrity, circulation, respiration, intake and output, hygiene and injury every two (2) hours for one (1) of two (2) Patients (Patient (P) # 3).
The findings include:
On September 20, 2022 Clinical record reviews revealed the following:
P # 3 was placed in soft restraints on bilateral wrists due to pulling at lines, tubing and drains on September 19, 2022 at 1:00 a.m.
There was no documentation between 7:00 a.m. and 10:00 a.m. of on going patient monitoring and assessment.
On September 20, 2022 at 10:00 a.m. an interview with Staff Member (SM) # 4 revealed the restraints were "not removed" between 7:00 a.m. and 9:00 a.m.
On September 20, 2022, a review of the facility policy titled "Use of Restraints for nonviolent, non-self destructive Patient situations: medical use of restraints" reads in part "Assessment is required every 2 hours to include: visual/safety check, circulation/skin integrity, range of motion, fluids, food and meal, and elimination."
The findings were discussed with SM # 1, # 2 and # 3 on September 20, 2022 during the exit interview.