Expired Medications – The majority of emergency medications on the crash cart were expired. When questioned, the director stated that the medications on the crash cart were restocked every two years so no one ever checked them. A patient came into the clinic to have a medication abortion. She was given information on medication abortion […]
Staff did not receive an annual performance evaluation to ensure they are competent to perform the job assigned Staff was not trained and did not demonstrate competency in sterilizing instruments that are used from woman to woman. Discrepancy noted on the narcotics count Medications not stored properly Staff opened and drew up syringes of Lidocaine, […]
Staff failed to safely administer and store medications. There were unlabeled 12 cc syringes filled with clear liquid in the procedure room. There was another 1 cc syringe of clear liquid in the refrigerator of the sterilization room that was unlabeled. The employee who was interviewed explained that the medications were Lidocaine and a TB […]
The facility’s quality improvement and assessment program was not adequate to assess the quality of care being provided at the center. This left no measurement for improvement. Assessing and improving the quality of care is paramount. A 15 year old patient came for an abortion and the staff failed to report the possible abuse of […]
Administrator did not ensure that staff was offered the Hep B vaccine and TB skin test as required to implement proper infection control. This put all staff and patients at risk and exhibits a disregard for the health and well being of all involved. Proper equipment to be used in case of an emergency was […]
Facility failed to obtain a TB skin test on 4 staff members. This is a disregard for the health and safety of the staff as well as the patients There was no documentation of training and in-service on 5 staff members Narcotics were not stored safely to prevent access by unauthorized personnel There was visible […]
Facility failed to have a quality assurance program that provided oversight for patient complaints, emergencies, competency, and safety Failed to maintain accurate and complete medical records. Facility failed to provide a TB skin test for staff putting the health and welfare of staff and patients at risk Failed to follow their own policy for monitoring […]
Policy and procedure manual had not been reviewed or updated in 2 years The facility changed administrators and did not notify the state There was no verification of professional license and certification on 3 employees and the administrator stated that they were “not aware this was required”. No personnel policies and procedures are in place […]
The facility did not have a RN employed at the facility. The doctor said that he performs all RN duties and he thought that because he cannot perform procedures because he has no hospital admitting privileges that it would be okay for him to perform all of the registered nursing activities that are required. The […]
This facility failed to ensure that equipment was inspected and maintained to ensure safety No documentation of preventive maintenance done on any of the suction machines in treatment rooms Expired medications were in use March 2018: The facility did not follow its own credentialing procedure for physicians. The credentialing committee had not reviewed the credentials […]
