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HARRIS HEALTH SYSTEM 2525 HOLLY HALL HOUSTON, TX 77054 Jan. 21, 2011
VIOLATION: ORGANIZATION OF NURSING SERVICES Tag No: A0386
Based on review of nurse staffing rosters, review of personnel/training files and review of hospital policy the Director failed to ensure 8 of 9 nursing personnel assigned to the rehabilitation unit were provided with eight hours annual training on the identification of patient abuse and neglect and unethical/unprofessional conduct as required by hospital policy.
Findings:

Review of the staffing roster for the rehabilitation unit for the 7 am - 7pm shift on 10/14/2010 reflected the assignment of 4 RN's, 4 Certified Nurses Aids(CNA) and one unit secretary. In review of corresponding personnel/training files, 8 of the 9 personnel had no evidence of 8 hours annual training in the identification of patient abuse and neglect that is required by hospital policy..
( Personnel # 1,2,3,5,6,7,8,9)