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 Feb. 16, 2012
VIOLATION: RN SUPERVISION OF NURSING CARE Tag No: A0395
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on record review and staff interview it was determined the Registered Nurse failed supervise and evaluate care regarding measurement of intake and out put as order by the physician for 1 (#1) of 11 sampled patients. This practice may result in failure to identify patient's health care needs.

Findings include:

1. Patient #1 was admitted to the facility on [DATE] with chest pain, nausea, vomiting, diarrhea and dehydration. Physician's orders instructed for strict intake and output to be measured and documented. Review of the nursing documentation revealed that the nursing staff failed to document the amount of urine output on a consistent basis. The nursing staff documented the number of times the patient voided not the amount. During the hospitalization , the nursing staff documented several incidents of liquid stool, which also was not measured.

The manager of regulatory compliance was interviewed on 2/16/12 at approximately 1:00 p.m. She confirmed that the nursing staff failed to measure the patient's output as ordered