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7808 CLODUS FIELDS DRIVE

DALLAS, TX 75251

PATIENT RIGHTS: CARE IN SAFE SETTING

Tag No.: A0144

Based on record review and interview, the hospital failed to ensure 1 of 1 patient (Patient #1) received care in a safe setting and was protected from harm. Patient #1 was hit by a staff member (Personnel #12).

Findings Included:

1) The facility video at 0032 on 01/03/12 included Patient #1 jumping up from his chair and striking at the staff member #12. The staff member's back was to the camera, he pulled his arm back and swung at the patient's head. At 0032 the nurse assessed the patient and noted he had a bloody nose. The patient was placed on 1:1 precautions and placed in the quiet room. A nursing assessment of the patient at 0500 included the patient had bruising around his left eye.

2) In an interview with the surveyor at 14:00 PM on 02/28/12 the CNO/COO and the Director of Psychiatric Emergency Services stated Employee #12 was involuntarily terminated after hitting the patient.

PATIENT RIGHTS: CARE IN SAFE SETTING

Tag No.: A0144

Based on record review and interview, the hospital failed to ensure 1 of 1 patient (Patient #1) received care in a safe setting and was protected from harm. Patient #1 was hit by a staff member (Personnel #12).

Findings Included:

1) The facility video at 0032 on 01/03/12 included Patient #1 jumping up from his chair and striking at the staff member #12. The staff member's back was to the camera, he pulled his arm back and swung at the patient's head. At 0032 the nurse assessed the patient and noted he had a bloody nose. The patient was placed on 1:1 precautions and placed in the quiet room. A nursing assessment of the patient at 0500 included the patient had bruising around his left eye.

2) In an interview with the surveyor at 14:00 PM on 02/28/12 the CNO/COO and the Director of Psychiatric Emergency Services stated Employee #12 was involuntarily terminated after hitting the patient.