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.
|ROSELAND COMMUNITY HOSPITAL||45 W 111TH STREET CHICAGO, IL 60628||July 31, 2020|
|VIOLATION: STAFFING AND DELIVERY OF CARE||Tag No: A0392|
|Based on document review and interview it was determined that, the Hospital failed to ensure adequate number of registered nurses were available in the emergency department (ED).
1. The Hospital's policy titled, "Mission and Scope of Services of the Department of Emergency Medicine" dated 04/2019 was reviewed. The policy included, " ...Nursing staff: ...staffing levels will be based on our facilities staffing matrix ...Day and evening: Minimum of 5 RN's with additional support staff ...Nights: Minimum 4 RN's with additional support staff ..."
2. The Hospital's document titled, "Emergency Department of Nursing Staffing Schedule" dated 02/16/2020 - 07/27/2020 was reviewed. The schedule included staffing shortages during the morning shift (7:00 - 7:00 PM) on the following dates: 02/19/2020 - 3 RNs; 02/20/2020 - 3RNs; 03/01/2020 - 3 RNs; 03/14/2020 - 3 RNs; 03/15/2020 - 3 RNs; 05/05/2020 - 3 RNs; and on 07/09/2020 - 2 RNs.
3. On 07/28/2020 at approximately 2:20 PM, the ED Manager (E #6) was interviewed. E #6 stated, "Normally, we need to have five (5) RNs from 7:00 AM to 7:00 PM and four (4) RNs from 7:00 PM to 7:00 AM ...It is absolutely not safe to have only three (3) RNs during day shift in the ED. Now that, we have our census going high from the pandemic and the closure of a nearby Hospital, it is essential to have enough staffing in the ED. On 07/09/2020 for the morning shift we had only two (2) RNs in the ED. But, I was on the unit helping them with the nursing care."
4. On 07/28/2020 at approximately 3:30 PM, the Chief Nursing Officer (E #7) was interviewed. E #7 stated, "Definitely, patient safety is affected if we have only three (3) RNs in the ED."