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.
|O U MEDICINE||700 NE 13TH STREET OKLAHOMA CITY, OK 73104||Sept. 28, 2011|
|VIOLATION: DOCUMENTATION OF EVALUATIONS||Tag No: A0811|
|Based on record review and interviews with hospital staff, the hospital did not ensure evidence of an evaluation of the patient's condition was performed to assure Patient # 1 was able to drive himself home without the threat of harm to himself or others.
1. Patient # 1's patient record documented the following:
a. Patient #1 arrived to the emergency department by private vehicle unaccompanied on 05/07/11 at approximately 0945.
b. Patient #1 had a laproscopic appendectomy at approximately 1547 on 05/07/11.
c. Patient #1 left in a wheelchair accompanied by attendant at approximately 1740 on 05/08/11.
d. Patient #1 had pain medication at approximately 1350 on 05/08/11.
2. Documentation in Patient #1's chart did not have evidence the patient's discharge condition was stable enough to drive himself unaccompanied.
3. Hospital staff verified on 09/27/11 in the afternoon that there was no assessment by nursing that documented the patient's condition to drive himself unaccompanied.