HospitalInspections.org

48051


Based on observations and interviews, the hospital failed to ensure patients received care in a safe setting. This deficient practice is evidenced by: 1) observation of an unsecured door leading from the patient care unit into the adjacent nursing home; 2) presence of a mattress with a zipper accessible covering located in the seclusion room on hall c; and 3) failure to provide interactive education to medical staff on the workplace violence prevention plan and failure to post required cautionary signage in a conspicuous location in accordance with R.S. 40:2199.11 through 2199.19.
Findings:

1) Observation of an unsecured door leading from the patient care unit into the adjacent nursing home.

Observation during tour of the facility on 04/24/2023 at 9:50 a.m. revealed a partially open door on hall c of the patient care area connected to the adjacent nursing home. The door was pushed open with minimal force. This would provide a means of elopement or a security risk of the patients currently admitted to the facilities located on either side of these unsecured doors.

In an interview on 04/24/2023 at 9:50 a.m., S1Adm verified the unsecured door of the patient care area connecting to the adjacent nursing home. S1Adm verified the door should remain secured and locked at all times.

2) Observation of a mattress with a zipper accessible covering located in the seclusion room on hall c.

Observation on 04/24/2023 at 9:40 a.m. revealed the seclusion room on hall c contained a mattress with a zipper accessible covering which could create a hiding place for contraband.

In an interview on 04/24/2023 at 9:40 a.m., S1Adm verified the mattress had a covering that could be unzipped. He also stated he would have the mattress removed and replaced with a mattress having a non-accessible covering.

3) Failure to provide interactive education to medical staff on the workplace violence prevention plan and failure to post required cautionary signage in a conspicuous location in accordance with R.S. 40:2199.11 through 2199.19.

Direct observation on entrance into the facility failed to reveal the required cautionary signage.

In interview on 04/24//2023 at 9:31 a.m., S1Adm verified the facility did not know about the regulation. S1Adm verified the facility did not have a workplace violence prevention plan, had not provided the required education and did not have the required signage posted.

Based on observation and interview the psychiatric hospital failed to ensure the use of methods for preventing and controlling the transmission of infections within the hospital. The deficient practice is evidenced by failure to provide a sink in the room used for drawing blood.

Findings:

Tour of the facility on 04/24/2023 between 9:25 a.m. and 9:55 a.m. revealed a room used for both admission assessments and for obtaining blood samples to be sent to the laboratory. The room did have a chair with an armboard for stabilizing the arm during the collection of blood. The room had no sink for handwashing before or after collecting blood.

In interview on 04/24/2023 at 9:45 a.m., S2RN verified the room was used for the collection of blood by laboratory personnel.

In interview on 04/25/2023 at 2:12 p.m., S7RN verified the room was used for collecting blood and there was no sink in the immediate vacinity to allow for hand hygiene.