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.
| UAMS MEDICAL CENTER | 4301 WEST MARKHAM STREET MAIL SLOT 612 LITTLE ROCK, AR 72205 | Feb. 2, 2017 |
| VIOLATION: PATIENT RIGHTS: RESTRAINT OR SECLUSION | Tag No: A0169 | |
| **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of clinical records and interview it was determined the Facility failed to assure chemical restraints were not ordered PRN (as needed) in 3 (#15, #17 and #18) of 5 (#15, #16, #17, #18 and #19) medical records reviewed for restraint use. Failure to assure chemical restraints were not ordered PRN did not assure Patients behavior was managed by physician order and not at the discretion or convenience of staff. The failed practice was likely to affect all patients admitted to the Facility that needed restraints. Example of the findings follow: A. Patient #15 was admitted [DATE] to the emergency room . Review of the Orders written by Physician #1 for Patient #15 on 12-18-16 revealed: Medication haloperidol (HALDOL) 5mg/mL injection (IM) Ordered Dose: 10 mg Route: IntraMUSCular Frequency: Every 6 hours PRN (as needed) for agitation, mod-severe agitation, aggression, severe or threatening behavior. If refuses PO (by mouth). B. Patient #17 was admitted [DATE] to the emergency room . Review of the Orders written by Physician #2 for Patient #17 on 12-30-17 revealed: Medication haloperidol (HALDOL) 1mg tablet Ordered Dose: 1mg Route: Oral Frequency: Every 6 hours PRN for agitation, as needed Moderate to aevere psychotic agitation. C. Patient #18 was admitted [DATE] to the emergency room . Review of the Orders written by Physician #1 for Patient #18 on 12-20-16 revealed Medication haloperidol (HALDOL) 5 mg/mL injection (IM) Ordered Dose: 5mg Route: IntraMUSCular Frequency: Every 6 hours PRN for mod-severe agitation, aggression, severe or threatening behavior. If refuses Prolixin PO. D. The Director of Compliance verified the findings in A. B. and C. |
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