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BAYSTATE FRANKLIN MEDICAL CENTER 164 HIGH STREET GREENFIELD, MA 01301 Dec. 26, 2018
VIOLATION: USE OF VERBAL ORDERS Tag No: A0407
Based on records reviewed and interviews the Hospital failed to follow its policy for verbal/telephone orders for two (Patient #7 and Patient #10) patients in a sample of ten patient records.

The Hospital policy titled "Verbal Orders", dated 1/2017, indicated that verbal orders are to be used only in emergency situations.

The Surveyor reviewed Patient #7's Medical Record at 3:00 P.M. on 12/26/18. Patient #7's Physician Orders indicated a verbal order for Guaifenesin Liquid (cough medication) was accepted at 9:54 P.M. on 12/25/18.

The Surveyor reviewed Patient #10's Medical Record at 3:15 P.M. on 12/26/18. Patient #10's Physician Orders indicated a verbal order for Mirtazapine (antidepressant) was accepted at 11:45 P.M. on 12/17/18.