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.
|KENDALL REGIONAL MEDICAL CENTER||11750 BIRD RD MIAMI, FL 33175||Jan. 27, 2021|
|VIOLATION: INFECTION CONTROL OFFICER RESPONSIBILITIES||Tag No: A0749|
|Based on interview, record review and policy the facility failed to follow the infection control standards of practice for 1 (SP#1) of 3 sample patients (SP) who tested positive for the Coronavirus (Covid-19) virus with symptoms.
Review of sample patient (SP) #1 Emergency Provider Report dated 12/16/2020 at 11:39 PM documented Chief Complaint: Shortness of Breath. Cat Scan to Chest impression documented patchy opacities compatible with multi focal pneumonia typical findings of COVID-19 pneumonia are present. Patient admitted .
Review of SP#1 Serology for Coronavirus dated 12/16/2020 at 11:30 PM documented a POSITIVE result.
Review of SP#1 Serology for COVID19 dated 12/17/2020 at 3:10 AM documented a NEGATIVE result.
Review of SP#1 Hospitalist History and Physical dated 12/17/2020 at 4:16 AM documented Assessment: Multifocal pneumonia likely secondary to viral infection with COVID-19. Plan: Admit to Immediate Care on Isolation Droplet Precautions.
Review of SP#1 Nephrology Progress Note dated 12/18/2020 at 10:31 AM documented Interval History: Subjective: Newly diagnosis with COVID-19 by PCR (polymerase chain reaction test). Positive COVID-19, new diagnosis, Respiratory Isolation.
Review of SP#1 Serology for COVID19 dated 12/23/2020 at 11:15 AM documented a NEGATIVE result.
Interview with Infection Control Preventionist on 01/27/2021 at 11:25 AM revealed a COVID-positive patient should have two-negative COVID-19 results greater than 24 hours apart before being moved out of the COVID-19 unit or discharged home.
Interview with Interim Vice President Quality on 01/27/2021 at 12:41 PM revealed SP#1 transmission-based isolation precautions were discontinued to standard precautions on 12/24/2020. Stated patient was treated on a designated COVID-19 unit from 12/19/2020 to 12/23/2020. Stated patient had 1-negative COVID-19 result dated 12/23/2020. Acknowledged that SP#1 did not meet the criteria for discontinuation of transmission-based isolation precautions.
Review of Facility COVID-19 Bundle, Version 13 - Updated 07/21/2020, pg.14, Florida Hospital Association (FHA) Testing and Disposition Guidance documented Clarification of COVID-19 Guidance pertaining to Testing and Disposition of hospitalized Patients, Dated 03/22/2019, 2. Consideration of discontinuation of isolation should include: Negative COVID-19 test results from at least two consecutive sets of paired nasopharyngeal and throat swabs specimens collected at least 24 hours apart [total of four negative specimens including two nasopharyngeal and two throat].
The facility failed to collect two negative COVID-19 test results at least 24 hours for 1 (SP#1) out of 3 sample patients (SP) prior to discontinuation of transmission-based isolation precautions.