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43 NEW SCOTLAND AVENUE, MAIL CODE 34

ALBANY, NY 12208

PATIENT RIGHTS: CONFIDENTIALITY OF RECORDS

Tag No.: A0146

Based on observation, facility staff failed to keep the patient's medical record confidential in the patient care area.

Findings:

Based on observation in 2 of the ICUs on 05/10/16, during a facility tour, the patient's flowsheets were left opened on the bedside table in the hallway. In the Surgical/Neuroscience ICU 11 out of 22 flowsheets were observed to be opened in the hallway. In the Medical/Surgical ICU 16 out of 18 flowsheets were observed to be opened in the hallway.

INFECTION CONTROL PROGRAM

Tag No.: A0749

Based on observation and document review, facility staff failed to follow policies for infection control prevention and associated risk.

Findings:

Based on observation of the surgical tracer case on 05/11/16, the anesthesia resident failed to clean the port of the intravenous tubing prior to accessing it to administer multiple medications. A review of the policy and procedure # 76 "Infection Control Standards for Anesthesia" states that anesthesia staff will "wipe injection sites and injection ports with alcohol prior to use".