Southeast Alabama Homecare

The agency failed to ensure discharged patients medical information, and treatment preferences were sent to the health care practitioner for transition of care.

The agency failed to ensure agency policies and procedures for infection prevention were followed.

The agency failed to follow physician orders for wound care.

The agency failed to ensure the provider was notified of significant changes in the patient condition and environment.

The agency failed to ensure: 1.Midline catheter exposed catheter length and arm circumference were measured per the physician order. 2.Infusion access device site care was performed per the physician order.

Staff interviews the agency staff failed to provide patient education and/or document the patient or caregiver was able to provide a return demonstration to ensure competency of the following: Urinary Traction infection.

The agency failed to ensure the staff was in conformance with physician orders for: 1. Wound care 2. Daily Weights every visit 3. Administration of Midodrine twice daily and as needed for blood pressure less then 120 systolic.

The agency failed to ensure staff followed infection control standards and discarded contaminated gloves, performed hand hygiene and donned clean gloves prior to continuing with clean procedures.

The agency failed to ensure staff reconciled medications in 3 of 5 Home Visits (HV) conducted, including HV # 4, HV # 2 and HV # 5, and had the potential to negatively affect all patients receiving services by this agency.

The agency failed to ensure the Skilled Nurse performed wound care only as ordered by a signed physician order.

The agency staff failed to notify the physician with changes in: 1. Edema 2. Pain 3. Wound measurements This deficient practice affected 2 of 5 Home Visits (HV) conducted, including HV # 4 and HV # 2, and had the potential to affect all patients served by the agency.

The agency staff failed to document wound assessments per agency policy.

The agency failed to ensure patients / caregivers were provided education and/or a return demonstration was obtained to ensure competency of wound care and disease processes per the physician order.

The agency staff failed to follow the physician ordered visit frequencies, including Occupational Therapy (OT) This affected 1 of 11 records reviewed, including Home Visit (HV) # 1 and had the potential to affect all patients admitted to this agency.

The agency failed to ensure: 1. Pain levels above physician ordered parameters were reported to physician.

The agency staff failed to notify the physician of changes in patients' conditions including edema, hyperglycemia and unrelieved pain outside the specified parameters.

The agency staff failed to ensure all initial evaluations were completed to meet patient needs and according to agency policy.

The agency failed to ensure: 1. Wound vac ( negative pressure wound therapy) was performed per agency policy.

The agency failed to ensure aide supervisory visits were conducted according to agency policy once ever 14 days.