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Tag No.: A0395
Based on interview and record review, the facility failed to ensure that nursing care in the form of an ordered wound consult was performed in one of five sampled patients. (#1)
Findings:
A review of the medical record of patient #1 was performed. The patient was admitted to the facility on 1/29/10. The patient had a surgical wound on the chest from a recent Coronary Artery Bypass Graft operation. Physician orders of 1/29/10 read: " ET nurse consult for wound care " . There was no evidence in the medical record that a consult was provided. This was confirmed in an interview of the Risk Manager on 3/1/10 at 1:30 pm. The Risk Manager stated at this time that the wound care nurse had no recollection of this patient.