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.

INGALLS MEMORIAL HOSPITAL 1 INGALLS DRIVE HARVEY, IL 60426 July 19, 2018
VIOLATION: OPERATING ROOM POLICIES Tag No: A0951
Based on document review, observation, and interview, it was determined that for 1 of 1 Perioperative Room (OR) suite (#9) observed, the Hospital failed to ensure that opened sterile surgical instruments and equipment were continuously monitored. This failure has the potential to affect 1 patient scheduled for surgery in OR suite #9 on 7/19/18.

Findings include:

1. The Hospital's policy titled, "Sterile Field, Maintaining" (revised 9/1/17), was reviewed on 7/19/18 and required, "2. Continuously monitor all sterile areas for possible contamination."

2. On 7/19/18, between 7:45 AM and 8:30 AM, an observational tour was conducted in the Perioperative Area (OR). At 7:50 AM, sterile surgical instruments and sterile Da Vinci robotic equipment were left open in OR suite #9. No staff were present in OR suite #9 to monitor the sterile instruments. At approximately 7:55 AM, an anesthesiologist (MD#5) entered OR suite #9 and left after approximately 2 minutes. No one else entered OR suite #9 between 7:50 AM to 8:10 AM. At 8:20 AM, there was still no one present in OR suite #9 to monitor the sterile instruments.

3. An interview was conducted with the Director of OR (E#5) on 7/19/18 at 8:30 AM. E#5 stated that a room where sterile surgical instruments are open should be monitored.