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.

HOLSTON VALLEY MEDICAL CENTER 130 WEST RAVINE ROAD KINGSPORT, TN 37662 April 4, 2014
VIOLATION: PATIENT RIGHTS: CARE IN SAFE SETTING Tag No: A0144
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on medical record review, review of facility policy, and interview, the facility failed to remove a saline lock (tube inserted into a vein) prior to discharge for one patient (#28) of five sampled patients.

The findings included:

Patient #28 presented on [DATE], at 1:45 p.m., with complaint of altered level of consciousness.

Medical record review of a physician's order dated January 31, 2014, at 2:28 p.m., revealed, "...Saline lock..."

Medical record review of a nurse's note dated January 31, 2014, at 3:05 p.m., revealed, "IV est R (intravenous established Right) upper arm..."

Medical record review of a disposition note dated January 31, 2014, at 7:10 p.m., revealed, "...decision is discharge. Condition...stable..."

Medical record review of a nurse's note dated January 31, 2014, at 8:39 p.m., revealed, "...IV was not removed on discharge..."

Review of an undated facility policy titled "Discharge" provided by the facility on April 4, 2014, revealed, "Purpose: To prepare patient for continuing care. To assist patient and family in making necessary arrangements as discharge begins on admission...inserted IV or INT (Intermittent Needle Therapy) catheters with no indication for continued use, remove before discharge..."

Telephone interview with the Director of Risk Management on April 4, 2014, confirmed the facility failed to remove an intravenous catheter prior to discharge according to facility policy for Patient #28 on January 31, 2014.

C/O: #