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.

FAXTON-ST LUKE'S HEALTHCARE 1656 CHAMPLIN AVENUE UTICA, NY 13503 Jan. 28, 2016
VIOLATION: ORGANIZATION AND DIRECTION Tag No: A1101
Based on findings from observation, interview and document review, the adult and pediatric crash carts in the Emergency Department (ED) were not maintained with adequate supplies. This could result in a delay of treatment in an emergent situation. Additionally, the policy and procedure (P&P) regarding crash carts did not identify which staff are responsible for the crash cart maintenance.

Findings include:

-- During observation while touring the ED on 1/27/16 at 9:54 am, the adult crash cart content checklist was compared to the contents of cart and revealed multiple items were lacking, (e.g., butterfly needles, yankauer suction, naso-gastric tube and spinal needle.)

-- Per interview of Staff #1 on 1/27/16 at 10:05 am, the above finding was acknowledged.

-- During observation on 1/27/16 at 10:20 am, the pediatric crash cart content checklist was compared to the contents of cart and revealed multiple items were lacking, (e.g., Ezio driver, intraosseous module and infant nasal cannula.)

-- Per interview of Staff #2 on 1/27/16 at 10:30, the above finding was acknowledged.

-- Per review of the facility P&P titled "Maintenance of Code Blue Equipment Procedure," last revised 8/10/15, it lacked guidance regarding which ED staff member is responsible for restocking and cleaning crash cart after a code. Also the specific cleaning agent was not listed, the P&P stated the following: "hospital approved disinfectant."

-- Per interview of Staff #3 on 1/28/16 at 11:00 am, the above finding was confirmed.