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.
|SAINT FRANCIS MEDICAL CENTER||530 NE GLEN OAK AVE PEORIA, IL 61637||July 20, 2016|
|VIOLATION: INFECTION CONTROL OFFICER RESPONSIBILITIES||Tag No: A0749|
|Based on document review and staff interview it was determined for 4 of 10 patients in droplet and or contact isolation (Pts #2, #4, and #3), the Hospital failed to provide patient/family education on droplet and contact isolation. This has the potential to negatively affect all patients, visitors and staff.
1. The hospital policy titled "Lipppincott Procedures - droplet precautions and contact precautions" (revised 7/7/15) was reviewed on 7/19/16 at 2:00 PM. Policy notes "explain isolation procedures to the patient and his family to ease patient anxiety and promote cooperation".
2. On 7/19/16 at approximately 2:00 PM, Pt #2's medical record was reviewed. Pt #2 was admitted to the NICU (Neonatal Intensive Care Unit) for a 23 week 2 day delivery on 2/2/16. E #8 (NICU physician) placed Pt #2 on droplet and contact isolation after exposure to shingles on the unit. No documentation of family education on contact or droplet education was found.
3. On 7/19/16 at approximately 2:30 PM, Pt #4's medical record was reviewed. Pt #4 was admitted to the NICU for respiratory distress. E #8 placed Pt #4 on contact and droplet isolation after exposure to shingles on the unit. No documentation of family education on contact or droplet education was found.
4. On 7/19/16 at approximately 2:45 PM, Pt #3's medical record was reviewed. Pt #3 was admitted to the cardiac unit for chest pain. Pt #3 was placed in contact isolation on 7/18/16 after lab results were positive for Methicillin-resistant Staphylococcus aureaus (MRSA). No documentation of patient or family education on contact isolation was found.
5. On 7/19/16 at approximately 3:00 PM, E #9 (RN, facility contact) was told patient chart reviews with computer-IT assistance observed several records with no documentation of patient/family isolation education. E #9 had no answer.