Healthcare Inspection: Nursing Care in the Community Living Center for Spinal Cord Injury, Louis Stokes VA Medical Center, Cleveland, Ohio.

摘要

The VA Office of Inspector General (OIG) Office of Healthcare Inspections conducted an inspection to assess the merit of allegations regarding poor quality care and management on the long-term care (LTC) spinal cord injury (SCI) unit at the Louis Stokes VA Medical Center (facility) in Cleveland, OH. Specifically, the complainant alleged that staff: documented poorly; neglected residents by frequently skipping residents showers and bowel care; refused to make rounds; and ignored infection control precautions by not wearing gloves to feed residents and leaving dirty linen scattered over the unit. In addition, it was alleged that nurse managers did not: take action in response to nursing staffs misconduct; adequately staff the LTC SCI unit, especially with experienced nurses; and assigned inexperienced nurses as charge nurse. During the course of our inspection, we also reviewed call bell response time.