The information below comes from the statement of deficiencies compiled by health inspectors and provided to AHCJ by the Centers for Medicare and Medicaid Services. It does not include the steps the hospital plans to take to fix the problem, known as a plan of correction. For that information, you should contact the hospital, your state health department or CMS. Accessing the document may require you to file a Freedom of Information Request. Information on doing so is available here.
|NORTHEASTERN VERMONT REGIONAL HOSPITAL||1315 HOSPITAL DRIVE SAINT JOHNSBURY, VT 05819||June 11, 2014|
|VIOLATION: POLICIES - DRUG MANAGEMENT||Tag No: C0276|
|Based on observation and confirmed through staff interviews the facility failed to assure that all drugs and biologicals were stored in a secured manner and that outdated drugs and biologicals were not available for patient use. Findings include:
During tour of the Emergency Department (ED) with the ED Nurse Manager, at 10:45 AM on 6/10/14, the following observations were made:
a. There was a vial of Verapamil (used to treat high blood pressure and control chest pain) 5mg/2 ml stored in the emergency Adult Code Cart, with an expiration date of 3/1/14.
b. There were 2 (1) Liter bags of Lactated Ringers intravenous solution stored in a refrigerator in Exam Room #2, each with an expiration date of February 2014.
c. A container of Hurricane Spray (topical anesthetic) was stored, unsecured and unmonitored in an unlocked cabinet in Exam Room #2.
These findings were confirmed by the ED Nurse Manager at the time of tour. On 6/11/14 at 2:35PM, the ED Nurse Manager stated that storing refrigerated lactated ringers solution was fairly new to the department and that a procedure for checking for outdates had not been established. The Director of Pharmacy confirmed, during interview on the afternoon of 6/11/14, that all drugs and biologicals should be stored in a secure manner and stated that s/he had not been aware the topical anesthetic spray had been stored in an unsecured area.