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Tag No.: A0724
Based on observation and interview, the facility failed to ensure warm water was available from sinks in the patient room bathrooms as well as in the hall restroom on the behavioral health unit (BHU).
Findings include:
During tour of the BHU beginning at 10:00 a.m. on 2/12/14 and accompanied by staff members #4 and #5, the following was observed:
(A) There are 2 rooms on the crisis center side with restrooms within the room (rooms 5103 and 5106) The water to the sinks is a push button type setting and the water last for a short period of time after pushing the button. The button has to be pushed repeatedly for the water to continue coming out. The water in both bathrooms did not get warm. After repeatedly pushing the button (>5 times), the water remained cool and did not get warm.
(B) There is one (1) bathroom in the hall on the crisis side of the unit for patient use. The bathroom had the same type of push button system to retrieve water. The water did not get warm during numerous pushes to the button.
(C) Room 5301 on the stress care side of the BHU had a bathroom in the room. The situation was the same as the crisis center side bathrooms. The water would not warm after repeatedly pushing the button.
(D) Room 5304 is a negative airflow room used for isolation patients. A sink was located in the ante room as well as inside the bathroom in the room. Both had the push button system and the water did not get warm with repeated pushing of the button. In fact, the water in the bathroom in the room kept getting colder as the button was pushed.
2. Staff member #4 indicated the following in interview beginning at 12:15 p.m.:
(A) After speaking with the maintenance department, the boiler for hot water for the BHU is downstairs and the temperature is checked there. The water then travels up through the pipes, which are not all double insulated, to the unit. With the extreme cold temperatures, there may be an issue with water temps at the level of the BHU.
3 Facility policy titled "Hand Hygiene" last reviewed/revised 12/14/11 states under on page 1: 1. Wet hands and wrists with warm running water......"