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.

ST JOSEPHS HOSPITAL 3001 W MARTIN LUTHER KING JR BLVD TAMPA, FL 33677 Nov. 9, 2011
VIOLATION: PATIENT RIGHTS: RESTRAINT OR SECLUSION Tag No: A0175
Based on record review, policy review and staff interview, it was determined that the facility failed to ensure patient monitoring according to facility policy for 1 (#7) of 10 sampled patients.

Findings include:


Review of the medical record of patient #7 revealed that restraints had been applied at 4:40 p.m. The reason for the restraint was documented as "emergent, violent, danger to others. There was no documentation of restraint monitoring or when the restraint was removed. There is a physician order written at 8:18 p.m. and there is documentation that restraints are in place at 7:19 p.m. No additional documentation regarding the restraint could be found. The facility's policy "Restraints; violent and non-violent ", #09-01-0011, revised 7/11, requires that an order for restraint be acquired prior to the application of restraints, or during the emergency application or within a few minutes after the application. Monitoring of the patient is to be documented every 15 minutes. The nursing director of the emergency department (ED) was interviewed on 11/10/11 at approximately 2:00 p.m., she confirmed there was no documented evidence that the staff complied with the facility's policy regarding timing of the physician order and monitoring of the patient.