Hale County Hospital Home Health

The agency failed to ensure the staff followed the agency policy for hand hygiene, cleaning of equipment, cleaning of the blood pressure cuff after use and bag technique for barrier placement.

The agency failed to ensure the Registered Nurse (RN) updated the Aide Plan of Care with changes in the patient's condition and the frequency of visits.

The agency failed to ensure the staff maintained an accurate medication profile.

The agency failed to ensure patient education and teaching was provided as ordered by the physician.

The agency failed to ensure the Home Health Aide (HHA) followed the Aide Care Plan.

The agency failed maintain documentation of agency staff participation in a table top exercise and complete and document analysis of the agencies response in the tabletop exercise in order to revise the emergency plan if needed.

The agency staff failed to ensure all reportable patient care incidents were documented in the agency incident report system, were analyzed and all required reportable incidents were available to track/trend for patient care improvement activities.

#Based on observations, review of agency policy and procedures, and interview it was determined the agency staff failed to: 1) perform hand hygiene after glove removal.

The Registered Nurse (RN) failed to prepare written patient care instructions for the Home Health Aide (HHA) which included all patient limitations and signs/symptoms to report.

The agency failed to ensure: 1) All medications were documented on the medication profile. 2) Complete medication orders were obtained after a hospitalization (Resumption of Care).

The staff failed to ensure patient's pain was assessed, interventions implemented to address pain were assessed for effectiveness and the physician was notified when pain was not managed.

The agency failed to ensure: 1. Wound assessments documentation was completed per agency policy.

The agency staff failed to follow the physician's plan of care that included: a) Education as ordered for infection, dressing disposal, hand washing, and signs and symptoms of Depression.

The agency failed to ensure the medical record documentation was complete, legible and accurate for all care provided.

The agency failed to ensure the home health aide (HHA)followed the written plan of care and accurately documented the care provided.