HospitalInspections.org

Based upon document review and interview, the facility did not comply with all of the provisions for maintaining a central log and conducting a medical screening exam. Please reference findings under Tag A2405 and A2406.

Based on document review and interview, the facility failed to ensure all individuals presenting to the Emergency Department (ED) are entered into the central log for 1 of 22 patients (Patient #1). This failure could result in the patient not receiving a medical screening exam.

Findings include:

Review of the facility's Lockout Team Debrief dated 11/7/17 revealed the hospital was placed on lock-down from 11/2/17 at 10:35pm to 11/3/17 at 3:35am following a security alert. During the lock-down a laboring patient presented by personal vehicle to the hospital parking lot and was stopped by Security personnel. The patient was informed that the facility was locked down and was re-directed to the next nearest hospital.

Interview with Staff (P), Security on 11/14/17 at 12:15pm revealed Patient #1 presented to the hospital entrance indicating she was in labor on 11/3/17 during the time when the facility was in lock-down. Staff (P) directed the patient to go to the next nearest hospital. Staff (P) stated he was not aware that all patients presenting for emergency care must be entered into the central log and have a medical screening exam.

Review of the facility policy and procedure # CVH950-232 EMT effective 7/25/17 revealed all patients presenting for emergency care and treatment will be logged into the central log and a medical screening exam will be conducted by a qualified medical professional.

Review of the facility Emergency Department log dated 11/3/17 revealed Patient #1 was not entered into the log.

Interview with Staff (A), President and (C), Regulatory Compliance on 11/13/17 confirmed that Patient #1 presented to the hospital for emergency care and was not entered into the central log.

Based on document review and interview, the hospital did not provide a medical screening exam (MSE) for 1 of 22 patients who presented to the hospital for emergency care (Patient #1). A lack of a medical screening exam could result in an emergency medical condition not being identified and treated.

Findings include:

Review of the facility's Lockout Team Debrief dated 11/7/17 revealed the hospital was placed on lock-down from 11/2/17 at 10:35pm to 11/3/17 at 3:35am following a security alert. During the lock-down a laboring patient presented by personal vehicle to the hospital parking lot and was stopped by Security personnel. The patient was informed that the facility was locked down and was re-directed to the next nearest hospital without receiving a medical screening examination.

Review of the facility Medical Staff Bylaws/ Rules and Regulations revealed all patients presenting to the Emergency Department, Labor/Delivery/Post -Partum Department or other areas as described in the Emergency Treatment and Active Labor Act Policy and requesting evaluation and treatment will have a medical screening exam provided by a qualified medical professional.

Interview with Staff (A), President on 11/14/17 revealed Patient #1 presented to the Emergency Department (ED) on 11/3/17 at approximately 2:00am in active labor. At the time of the patient's arrival to the ED, the hospital was in lock-down status due to a security alert in the area. Staff (P), Security informed the patient that the hospital was not allowing patients to enter or exit the building. Staff (P) directed the patient to go to the next nearest hospital. The patient did not receive a medical screening exam.