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.
|UPMC PRESBYTERIAN SHADYSIDE||200 LOTHROP STREET PITTSBURGH, PA 15213||Oct. 7, 2015|
|VIOLATION: MAINTENANCE OF PHYSICAL PLANT||Tag No: A0701|
|Based on a review of facility policies, tour of facility and staff interviews (EMP), it was determined that the facility failed to ensure and maintain a safe and sanitary environment to minimize all health hazards in the hospital for the protection of patients and employees.
1) Review of facility policy "Cleaning of Non-Critical Patient Care Equipment" reviewed December 1, 2014, stated, "... It is the policy of UPMC to clean and disinfectant shared non-critical patient care equipment in a manner that prevents the transmission of microorganisms while maintaining the integrity of the equipment..."
2) During a tour of 3 East Nursing Unit on October 1, 2015, at 11:00 AM, a basin containing blood stained gauze and debris from IV insertion was found on the cart in the clean utility room. During the tour EMP1 and EMP6 confirmed the above findings at the time of observation.
3) During a continued tour of 3 East Nursing Unit on October 1, 2015, at 11:20 AM, the inside bottom of the medication room refrigerator had a dark unidentifiable substance and debris. During the tour EMP1 and EMP2 confirmed the above findings at the time of observation.
4) A tour of the medication room on the 3 East Nursing Unit on October 1, 2015, at 11:25 AM, revealed an empty soap dispenser. Further observation noted no container in the dispenser to hold soap. Additionally, there was no alcohol based hand cleaner in the room. During the tour EMP1 and EMP6 confirmed the above findings at the time of observation.