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||April 26, 2016|
|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, the facility failed to ensure the registered nurse supervised nursing care and services for assessments and wound care for two (#2, #5) of 10 sampled patients.
1. Patient #5 was admitted on [DATE] with diagnoses that included an acute urinary tract infection.
Review of the Vital Signs flow sheet revealed Patient #5 did not have his temperature monitored between 1/5/16 at 7:15 a.m. and 1/8/16 at 3:00 a.m. when the temperature was recorded at 89 degrees Fahrenheit rectally.
The findings were confirmed on 4/25/16 at approximately 2:30 p.m. by the Quality Improvement Coordinator at the time of the record review.
2. Patient #2 was admitted on [DATE] with diagnoses that included a large decubitus ulcer on the sacrum.
The Physician's Order dated 4/15/16 at 6:35 p.m. and signed by the attending physician instructed to cleanse the sacral wound with normal saline, apply aquacel ag and cover with coverdern or gauze once daily.
A detailed review of the medical record for Patient #2 failed to reveal any evidence of nursing reassessment of the wound following the Wound Care Consultation on 4/15/15, a period of 10 days. There was no evidence of wound care being performed in accordance with the physician ordered plan of treatment on 4/20/16 through 4/25/16, a period of 5 days.
The findings were confirmed in an interview and record review conducted on 4/26/16 at 11:00 a.m. with the Registered Nurse assigned to the care of Patient #2 and the Quality Improvement Coordinator.