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.
|SSM HEALTH ST ANTHONY HOSPITAL - OKLAHOMA CITY||1000 NORTH LEE AVENUE OKLAHOMA CITY, OK 73101||July 5, 2018|
|VIOLATION: RN SUPERVISION OF NURSING CARE||Tag No: A0395|
|Based on record review and interview, the hospital failed to ensure pain was reassessed after pain medication was given for three of 20 (Patients # 3, 4 & 17) records reviewed.
This failed practice had the likelihood that pain was not relieved or an optimal pain level was not achieved for patients # 3, 4 & 17.
A policy titled "Pain Assessment & Management" showed after treatment, intervention, reassessment of pain, level of sedation and other adverse effects should occur within 60 minutes.
A review of the following patient records # 3, 4 & 17 showed there was no reassessment of pain medication after administration.
On 07/03/18 at 10:30 am, Staff E stated the expectation was for the nurse to reasssess pain after pain medication was given; if pain was reassessed within an hour the assessment would be documented.