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BRATTLEBORO MEMORIAL HOSPITAL 17 BELMONT AVE BRATTLEBORO, VT 05301 Oct. 14, 2014
VIOLATION: PATIENT RIGHTS: PERSONAL PRIVACY Tag No: A0143
Based upon observation, interview, and record review, the hospital failed to ensure the personal privacy of 4 of 7 patients in the sample group, [Patients #1, #2, #3, #4] related to Patient #1 overhearing personal and medical information about themselves and 3 others while in the hospital ' s Emergency Department.
Findings include:
Per record review of the hospital 's Emergency Department [ED] log for 8/24/14, Patient # 1 arrived in the ED at 10:12 P.M. with a diagnosis of a broken toe, was placed in Treatment Room 6, and left the ED ' without completion of service' at 11:40 P.M.
Per observation on 10/15/14, Treatment Room 6 is located directly across from the ED 's nurses' station.
Per record review of the hospital ' s Event Report, dated 9/16/14, regarding Patient #1 's ED experience; " patient verbalized h/her frustration at overhearing nurses talk disparagingly about h/her and other patients they viewed as being drug seekers " .
Per review of an interview with Patient #1 on 8/27/14 at 11:00 A.M. the patient reported overhearing the nursing staff making derogatory remarks regarding 3 other patients [Pts. #2,3,4] in the ED during Patient #1 's time there. Patient #1 reported hearing the other patients' names, diagnoses, medical treatment, and/or home addresses.
Per record review of the hospital ' s Emergency Department log for 8/24/14, the information reported by Patient # 1 directly corresponds to Patients #2,3,&4, who were present during Patient #1 's time in the ED, with regard to their names, diagnoses, medical treatment, and/or home addresses. Additionally, time records document the staff identified by Patient #1 as making the remarks were present in the ED during the time Patient #1 and the 3 other patients were there.
Per interview with the hospital 's Director of Emergency Services on 10/14/14 at 2:52 P.M. the Director reported having spoken to Patient #1 following the event and the patient was able to provide quotations of remarks made on 8/24/14. The Director confirmed that Patients #1, 2, 3, & 4 's right to privacy was not observed as evidenced by their personal and medical information discussed openly in the ED without regard as to who could hear it.
VIOLATION: PATIENT RIGHTS: CARE IN SAFE SETTING Tag No: A0144
Based upon observation, interview, and record review, the hospital failed to provide an emotionally safe environment regarding respect and dignity related to remarks overheard by one patient [Patient #1] about that patient and 3 of 7 others [Patients #2,3,& 4] in the sample group, while in the hospital 's Emergency Department.
Findings include:
Per record review of the hospital 's Emergency Department [ED] log for 8/24/14, Patient # 1 arrived in the ED at 10:12 P.M. with a diagnosis of a broken toe, was placed in Treatment Room 6, and left the ED ' without completion of service ' at 11:40 P.M.
Per observation on 10/15/14, Treatment Room 6 is located directly across from the ED 's nurses' station.
Per review of an interview with Patient #1 on 8/27/14 at 11:00 A.M. the patient reported arriving at the Emergency Department between 10:00 and 11:00 P. M. on 8/24/14. Patient #1 was able to identify 2 staff members, one by name, as making demeaning comments to h/her and about h/her while in the ED regarding h/her medical condition and alleged the patient was involved in illegal drug use.
Per record review of the hospital 's Event Report, dated 9/16/14, regarding Patient #1 's ED experience; " patient verbalized h/her frustration at overhearing nurses talk disparagingly about h/her and other patients they viewed as being drug seekers " .
Patient #1 also reported overhearing the nursing staff making derogatory remarks regarding 3 other patients [Pts. #2,3,4] in the ED during Patient #1 ' s time there. Patient #1 reported hearing the other patients ' names, diagnoses, medical treatment, and/or home addresses.
Per record review of the hospital ' s Emergency Department log for 8/24/14, the information reported by Patient # 1 directly corresponds to Patients #2,3,&4, who were present during Patient #1 's time in the ED, with regards to their names, diagnoses, medical treatment, and/or home addresses. Additionally, time records document the staff identified by Patient #1 as making the remarks were present in the ED during the time Patient #1 and the 3 other patients were there.
Per interview with the hospital 's Director of Emergency Services on 10/14/14 at 2:52 P.M. the Director reported having spoken to Patient #1 following the event and the patient was able to provide quotations of remarks made on 8/24/14. The Director confirmed the hospital's Patient Rights Policy states " the patient has the right to considerate and respectful care at all times under all circumstances " and this did not happen during Patient #1 's visit. The Director reported Patient #1 stated the incident in the ED made h/her feel " belittled " .