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.
|RIVEREDGE HOSPITAL||8311 WEST ROOSEVELT ROAD FOREST PARK, IL||July 13, 2012|
|VIOLATION: PATIENT RIGHTS: CARE IN SAFE SETTING||Tag No: A0144|
|**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on review of Hospital policy, observation, clinical record review, and staff interview, it was determined that for 1 of 1 (Pt #2) clinical record reviewed of a patient on 1:1 observation, the Hospital failed to ensure staff were within arms reach as required. Thus placing all patients and staff on the unit at risk.
1. Hospital policy entitled, "Precautions and Observations," (revision 8/11) required, "1:1 Observation - Will be instituted when a patient is unable to maintain safe control of his/her behavior on a lesser level of observation. Staff will remain at an arms length from patient at all times ..."
2. During the tour of the 1 South Unit on 7/12/12 at approximately 9:15 AM, one patient (Pt #2) was identified as a 1:1 observation status patient.
3. The clinical record of Pt #2 was reviewed on 7/12/12 at approximately 9:20 AM. Pt #2 was a [AGE] year old female admitted on [DATE] with a diagnosis of Schizoaffective Disorder. An admission order dated 6/28/12, that as a result of Pt #2's risk of assault, required that Pt #2 be placed on Assault, Fall, Elopement, and Seizure Precautions. On 7/1/12 a physician's order was written at 6:25 AM that required Pt #2 be placed on "1:1 RTC (round the clock) until further notice". The staff assigned to Pt #2 was sitting in the hall, approximately 10 feet from the patient, not at arms length as required.
4. The Chief Compliance/Nursing Officer (CNO) was interviewed on 7/12/12 at approximately 9:30 AM. The CNO stated that the Hospital is aware the sitter is not at arms length. The CNO stated that Pt #2 becomes agitated easily and has injured various staff so to keep her quiet and not get her agitated, the staff sits in the hall, while she is in bed.