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Tag No.: K0130
Based on observation and interview, it was determined the facility failed to perform a monthly test on the single Line Isolation Monitor located in the Procedure Room. The failed practice did not assure the proper functioning of the Line Isolation Monitor to prevent the potential electric shock. The failed practice had the potential to affect all patients admitted for procedures in the Procedure Room. The facility performed an average of two procedures per week. The findings follow:
A. On a tour of the Procedure Room #1 at 1040 on 10/19/11 with the Engineering Director and Engineering Supervisor, a Line Isolation Monitor was observed in the Procedure Room.
B. In an interview on 10/19/11 at 1130, the Engineering Director stated monthly testing of the Line Isolation Monitor was not performed and verified there was no Line Isolation Monitor testing documentation available for review.