HospitalInspections.org

Based on record reviews and interview, the hospital failed to ensure that 1 of 3 swing bed patients received a consultation based on the patient's assessment findings. (Swing Bed Patient 3)


The findings are:


On 11/14/16 at 11:18 a.m., review of Swing Bed Patient 3's chart revealed the patient was admitted to a swing bed on 03/11/16. Review of the patient's chart revealed a speech therapy referral on 05/13/16 and 06/13/16 with no additional information related to the referrals. On 11/14/16 at 11:29 a.m., Director 1 revealed, "The referral is based on the nursing assessment and the physician has to decide if he wants to do the referral or not. The physician has to delete it from the system if he doesn't want to do anything." There was no documentation that verified the physician did not want the speech therapy consult, and there was no documentation to verify that the speech therapy consult was completed.