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.

ERLANGER MEDICAL CENTER 975 E 3RD ST CHATTANOOGA, TN 37403 Feb. 1, 2012
VIOLATION: PATIENT RIGHTS: RESTRAINT OR SECLUSION Tag No: A0185
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on record review, interview, and policy review, the facility failed to document the type of restraint used for one patient (#3) of five patients reviewed.

The findings included:

Medical record review revealed Patient #3 was admitted to the facility on on [DATE], with diagnosis of Hematuria, Abdominal Pain, Chronic Kidney Disease, End Stage Renal Disease, and Urinary Tract Infection.

Review of Patient Notes dated January 21, 2012, at 6:59 a.m., revealed "...wore restraints temporarily: restraints d/'d (discontinued) at this time...". Review of the medical record revealed no documentation of the type of restraint used.

Review of the "Clinical Justification and Documentation for Medical/Surgical Restraints" form, dated January 20, 2012, at 2250 p.m., revealed an order for Patient #3 to be restrained, but no documentation of the type of restraint used.

Review of the facility's policy number PC.050, last revised November 2011, revealed, "...order must indicate...type of restraint to be used."

Interview with the Director of Nursing Quality Improvement, on February 1, 2012, at 1:00 p.m., in the Quality Improvement office, confirmed there was no documentation of the type of restraint applied to Patient #3 on January 20, 2012.



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