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.
|SUNDANCE HOSPITAL||7000 US HIGHWAY 287 ARLINGTON, TX 76001||Oct. 6, 2015|
|VIOLATION: RN SUPERVISION OF NURSING CARE||Tag No: A0395|
|Based on record review, observation, and interview, the hospital failed to ensure that registered nursing staff supervised and evaluated the nursing care for one of one patient (Patient #13) after the patient sustained a head injury.
Patient #13 was surveyor observed on 10/02/15 at 16:45 with blood shot eyes. Patient #13 was observed again on 10/06/15 at approximately 12:55. The blood-shot color of his eyes had intensified.
Record review of the Internal Medicine Consult dated 10/02/15 at 11:14 noted that Patient #13 had "attempted to assault multiple staff members yesterday...during his attack he sustained injuries to his bilateral eyes..." The physician diagnosed Bilateral Periorbital Bruises and recommended nursing staff "to monitor the patient closely for the next 24 hours."
Nursing Shift Assessments dated 10/02/15 through 10/05/15 noted the patient did not have any active medical problems. The blood shot eyes were not addressed.
During an interview on 10/06/15 at 16:00. Personnel #16 stated that Patient #13 was restrained after he had physically attacked staff. The patient was "in a panic, shaking, and hit his head." Personnel #16 denied further patient assessment.
The National Center for Emergency Medicine Informatics warns to "not brush off bilateral deep periorbital ecchymoses ('raccoon eyes') especially if caused by head trauma remote to the eye" (http://www.ncemi.org/cse/cse0201.htm).