HospitalInspections.org

Based on observation, and staff interview, the facility failed to ensure medications available for use were stored according to manufacturers' dates of expiration for 1 of 4 (Memorial Hospital of Carbon County Family Practice Clinic-Rawlins) outpatient clinics. The findings were:

1. Observation on 7/18/22 at 4:30 PM showed 23 bottles of Iodine, with 180 capsules within each bottle, were available for use. The observation showed the manufacturer's date of expiration for each bottle was 6/20/22.

2. Observation on 7/18/22 at 4:32 PM showed 9 boxes of Bystolic, 10 milligram (mg) tablets, with 7 tablets per box, were available for use. The observation showed the manufacturer's date of expiration for each box was 2/22.

3. Interview on 7/18/22 at 4:35 PM with the clinic manager confirmed the medications were outdated, and were available for use.

Based on medical record review and staff interview, the facility failed to properly execute informed consent for treatment for 8 of 25 sample patients (#1, #2, #8, #12, #13, #17, #18, #20). The findings were:

1. Medical record review showed patient #1 was admitted to the facility on 7/16/22 with a head injury. Review of the Consent for Treatment showed a witness signed on 7/16/22. However, the areas for signature of the patient and signature of authorized representative were left blank, and the facility failed to document an explanation.

2. Medical record review showed patient #2 was admitted on 7/16/22 with trauma related to a motor vehicle accident and was hospitalized at the time of survey. Review of the consent form showed "implied consent" on the patient signature line, the authorized representative line was blank, and there was no date.

3. Medical record review showed patient #8 was admitted on 5/13/22 with chronic gastric ulcer. Review showed a signature on the patient line; however, there was no date.

4. Medical record review showed patient #12 was admitted on 7/7/22 with dementia. Review of the consent form showed the areas for signature of the patient, signature of authorized representative and the date were blank and the facility failed to document an explanation.

5. Medical record review showed patient #13 was an outpatient in the emergency department on 5/14/22 with shortness of breath and an asthmatic attack. Review of the Consent for Treatment showed the patient signed the form and dated it 5/14/22. However, the area for a witness was left blank, and the facility failed to document an explanation.

6. Medical record review showed patient #17 was admitted on 7/13/22 with cholecystitis. Review of the consent form showed "verbal" on the patient signature line, no date on the consent and the facility failed to document an explanation.

7. Medical record review showed patient #18 was admitted on 6/23/22 with anemia. Further review showed a consent for treatment was absent from the record and the facility failed to document an explanation.

8. Medical record review showed patient #20 was admitted on 5/22/22 with COPD exacerbation. Review of the consent form showed "COVID" on the patient signature line; however, there was no date on the consent.

9. Interview on 7/21/22 at 2:10 PM with the Chief Executive Officer (CEO) and Director of Nursing (DON) verified the consent to treat documents were incomplete.




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