HospitalInspections.org

Based on record review and staff and family interviews, the facility failed to remove the cannula IV(intravenous) from 1 (#4) and failed to show documentation that a cannula IV (intravenous) was removed before the patient discharged for 1 (#2) of 5 sampled patients. Findings include:

1. During an interview on 4/12/21 at 2:43 p.m., NFS1 stated patient #4 had a cannula IV when she returned home from discharging from the hospital. The hospital's visiting nurse service nurse removed the cannula IV, five days after being discharged from the hospital.

Review of patient #4's EHR (electronic health record), dated 10/4/20-10/15/20, showed no documentation of patient #4's cannula IV being removed by the nurse at the time of discharge, 10/15/20. Documentation showed on 10/20/20, after patient #4 had been discharged, the cannula IV was removed.

2. Review of patient #2's EHR showed patient #2 was receiving Remdesivir through an IV. Review of The Default Flowsheet Data checklist dated 11/11/20-11/14/20, showed no documentation that patient #2 had an IV leaving the facility or that the cannula IV had been remove on discharge.

During an interview on 4/13/21 at 10:10 a.m. staff member G stated the nurse would do a complete head to toe assessment of the patient, during their stay at the facility. The electronic medical record program would trigger the nurse that the discharging patient had an IV and needed to remove the cannula IV before discharge. There was no assessment, and the program did not trigger the discharge assessment of the patients having an IV during their stay. The discharging nurse was not prompted to check for a cannula IV.