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.
|ST TAMMANY PARISH HOSPITAL||1202 S TYLER STREET COVINGTON, LA 70433||Aug. 20, 2019|
|VIOLATION: PATIENT RIGHTS: ACCESS TO MEDICAL RECORD||Tag No: A0148|
|Based on record review and interview, the hospital failed to provide a patient access to their complete medical record as evidenced by failing to provide a copy of a patient's lab results upon request after an accidental exposure to blood and body fluids for 1 out 1 patient's (Patient #1) medical records reviewed for access to their medical records. Findings:
Review of the hospital's policy for Processing Release of Information Requests in part revealed, "Upon request, medical records are release in a timely manner to the requestor, the patient or the patient's representative, unless such a release is likely to cause sufficient harm to the patient or another individual."
Review of the Hospital's Medication Error report revealed Patient #1 was administered Novolog (insulin) with another patient's insulin pen on 4/17/19.
Review of Patient #1's Electronic Medical Record, navigated by S4RN and S5RN, revealed Hepatitis B Surface Antigen, Hepatitis C Antibody and HIV lab work was ordered and obtained on 4/17/19 on Patient #1.
An interview was conducted with S3IP on 8/20/19 at 10:00 a.m. She reported that Hepatitis B Surface Antigen and Hepatitic C Antiboy and HIV lab work was drawn on Patient #1 on 5/29/19 also. She further reported that she called the patient with the results on 6/03/19. When questioned if the patient requested a copy of her lab work, she stated the patient had, but the lab work was confidental and she could not give the patient a copy of her lab work. She further explained the lab work was coded under employee health and not under the patient's name.