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.

PARKWEST MEDICAL CENTER 9352 PARK WEST BLVD KNOXVILLE, TN 37923 Aug. 30, 2012
VIOLATION: INFECTION CONTROL OFFICER RESPONSIBILITIES Tag No: A0749
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on observation, facility policy review, and interview, the facility failed to ensure hand hygiene practices were followed for one patient (#9) of five patients reviewed.

The findings included:

Patient #9 was admitted to the facility on on [DATE], with diagnoses to include Internal Fixation of Left Femur Fracture.

Observation on August 6, 2012, at 10:30 a.m., revealed Registered Nurse (RN) #1 and the Orthopedic Medical Surgical Unit Charge Nurse, without washing or sanitizing the hands, entered the patient's room to answer a call light. Continued observation revealed the Charge Nurse adjusted the covers on the patient's bed, and without washing or sanitizing the hands, exited the patient's room, preceded to the nursing desk, and had contact with items on the desk.

Review of the facility policy Hand Hygiene, policy # PC.IP.022, dated as revised January 2011, revealed "...to decrease the risk of transmission of infection...Hand Hygiene shall be practiced before and after each patient contact...Before and upon patient room exit..."

Interview with the Charge Nurse at the Nursing station on August 6, 2012, at 10:40 a.m., confirmed the hands were to be washed or sanitized before entry and after exit of a patient's room. Continued interview confirmed the hands had not been washed or sanitized before entry or after exiting the patient's room and the patient's bed linens had been handled while in the patient's room.