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.
|ORLANDO HEALTH||52 W UNDERWOOD ST ORLANDO, FL 32806||June 14, 2012|
|VIOLATION: POST-HOSPITAL SERVICES||Tag No: A0808|
|**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on record review and interview the facility failed to assure that all discharges included a plan to insure availability of appropriate services following hospitalization for one (1) of ten (10) sampled patient discharges. (#2)
Record # 2 reflected that the patient was discharged on [DATE] at 5:17 p.m. with a prescription for Clozapine 200 milligrams at bedtime. The record also reflected that the patient's absolute [DIAGNOSES REDACTED] count (ANC) on 05/05/2012, the day of discharge was 1.8. The facility policy on dispensing Clozapine documented that for continued therapy the ANC was to be above 2.0.
Interview with the facility pharmacist on 06/14/2012 at 3:15 p.m. confirmed that the policy and National Registry for use of Clozapine required the ANC be above 2.0. She also confirmed no outpatient pharmacy would dispense Clozapine without lab work confirming the ANC was above 2.0.
Interview with the Psychiatrist on 06/14/2012 confirmed that outpatient pharmacy could not dispense Clozapine if the ANC was below 2.0 and he confirmed the patient was given a prescription for Clozapine.