HospitalInspections.org

This is a recurring deficiency cited from the EMTALA survey conducted 08-10-2015. Based on clinical record review and interview, it was determined the Facility failed to disclose the risks of transfer specific to the condition for four of nine transferred patients. Failure to disclose the risks specific to the condition did not allow Patient #2 and Patient #5 to make an informed decision regarding the need for the transfer. The failed practice affected Patient #2 and Patient #5. The Transfer Form for Patient #1 and Patient #9 could not be located although both patients were transferred to another Facility.

A. Clinical record review of the Patient Transfer Form for Patient #2 and Patient #5 revealed no documentation under Explanation of Risks specific to the patient's condition.

B. An interview was conducted with the Nurse Manager of the Emergency Department 04-21-2017. The Nurse Manager of the Emergency Department confirmed the lack of documentation for the risks of transfer for Patient #2 and Patient #5.

C. Clinical record review for Patient #1 revealed Patient #1 was transferred 02-15-2017 to another Facility. The Transfer Form for Patient #1 could not be located. Clinical record review for Patient #9 revealed Patient #9 was transferred 04-17-2017 to another Facility.

D. An interview with the Nurse Manager of the Emergency Department 04-21-2017. The Nurse Manager of the Emergency Department confirmed there were no Transfer Forms for Patient #1 and Patient #9 to review.