HospitalInspections.org

Based on record review and staff interview it was determined the hospital failed to ensure nursing staff developed and kept current nursing care plans for nine (9) of ten (ten) patients reviewed (patients # 1, 2, 3, 4, 5, 6, 7, 8 and 9). This failure creates the potential for the quality of nursing care for all patients to be adversely impacted .

Findings include:

1. Review of the medical records for patients #3, 4, 5, 6, 7 and 9 revealed the patients had no nursing care plans.

2. Review of the medical records for patients #1, 2 and 8 revealed the care plans were not current.

3. The above findings were reviewed and discussed with both the Nurse Manager and Clinical Coordinator for the Medical Intensive Care Unit between 1:00 p.m. and 1:30 p.m. on 11/22/16. Both agreed with the findings.