Planned Parenthood – Merrillville

• Failed to maintain a complete and accurate medical record on abortion patients.
• History and physicals were not authenticated
• Arrival and departure times were conflicting with the procedure start and stop times
• Provider didn’t sign off on abortion history
• No products of conception tissue exam documented
• Procedure was documented as starting at 16:56 and stopping at 16:12
• Patient was discharged at 4:10 but vital signs were documented as being done at 5:00
• Sedation preference not documented (local only or NSAID)
• No consent forms read or signed before the procedure
• Counseling was not completed per policy on patients regarding RH negative (Rhogam injection needed) and post procedure hygiene.
• NO infection control committee or current policy and procedures are in place.
• Biohazardous waste was kept in a locked closet until the waste company could pick it up. The closet was not marked indicating that it contained biohazard material.

2017-2019

• The management did not review the facility’s Quality Assessment and Improvement Program for laundry and pharmacy
• A policy for employee practice problems (impaired healthcare workers, criminal history, and disciplinary action) was not in place
• The facility did not have a written policy that provided safeguards to assure protection of medical records from fire, water, and other sources of damage
• A Physician’s credentials were not checked before hiring
• The facility did not have a policy for reporting adverse reactions and medications errors to the physician responsible for the patient
• The staff failed to document electrical current leakage of patient care equipment