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.

REGIONAL MEDICAL CENTER BAYONET POINT 14000 FIVAY RD HUDSON, FL 34667 April 16, 2013
VIOLATION: IMPLEMENTATION OF A DISCHARGE PLAN Tag No: A0820
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on clinical record review, policy review and interview it was determined the facility staff failed to provide discharge instruction concerning the administration of insulin to a patient/ representative for 1 (#2) of 10 sampled patients.

Findings include:

Patient #2 was discharged on [DATE] with a prescription for Insulin to use according to a sliding scale.

Review of nursing documentation from time of admission on 2/19/13 to discharge on 2/28/13 did not reveal any evidence the patient or responsible representative received appropriate discharge education relating to the self administration of insulin.

An interview was conducted with staff nurse #2 on 4/16/13 at 11:25 a.m. The nurse was questioned concerning who is responsible for insulin injection education. The nurse responded the patient's nurse is the one responsible for the injection education.

A review of the facility's policy, "Discharge Plan" policy #PC 402.917, revised 1/12, page 5, section (3) Nursing revealed nursing is to provide educational material to the patient and family members.