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.
|GOOD SAMARITAN HOSPITAL||FOURTH AND WALNUT STREETS LEBANON, PA 17042||Nov. 30, 2015|
|VIOLATION: QUALIFIED EMERGENCY SERVICES PERSONNEL||Tag No: A1112|
|Based on a review of facility documents, medical records (MR) and interview with staff it was determined the facility failed to perform hourly assessments by triage nurse for patients not yet assigned a room in the Emergency Department for three of elevens patients reviewed (MR1, MR4 and MR11).
A review on November 30, 2015, of the "F. J. Dixon Foundation Emergency Center Policy Procedure Manual" entitled "Nursing Assessment" last reviewed on Feb. 3, 2015, revealed, " ... C. Ongoing Assessments 1. Patients in the department longer than one (1) hour should have an assessment documented a minimum of every one (1) hour. ... Vital signs are to be done on every patient in the ED on arrival and at a minimum every hour thereafter. ... "
A review on Nov. 30, 2015, of MR1, MR4 and MR11 revealed that the patients remained in the Emergency Department for longer than an hour and up to three hours and had no vital signs or assessment documented.
An interview on Nov. 30, 2015, at 1:25 PM with EMP1 confirmed there was no documentation of ongoing triage assessment for MR1.
An interview on Nov. 30, 2015, at 2:00 PM with EMP2 confirmed there was no documentation of ongoing triage assessment for MR4 and MR11.