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.
|ALLEGHENY GENERAL HOSPITAL||320 EAST NORTH AVENUE PITTSBURGH, PA 15212||March 20, 2015|
|VIOLATION: INFECTION CONTROL OFFICER RESPONSIBILITIES||Tag No: A0749|
|Based on review of the facility documents, and staff interview (EMP), it was determined the facility failed to ensure maintenance of a sanitary physical environment.
1) On March 19, 2015, at approximately 1:00 PM, review of facility document, "Room Ventilation Test Sheet," dated January 2015, revealed OR8 = 13 air changes per hour, OR14 = 12 air changes per hour, Surgical Suite #3 = 11 air changes per hour, Surgical Suite #6 = 11 air changes per hour. OR 16 = neutral airflow, GI Labs 13, 17, and 23 = negative airflow.
2) Interview with EMP6 revealed, "We don't have PM (Preventative Maintenance) or a policy for ventilation. We are in the process of changing our policies."