Healthcare Inspection: Alleged Nursing Quality of Care Issues Edward Hines Jr. VA Hospital, Hines, Illinois

摘要

The purpose of this inspection was to determine the merit of allegations made by an anonymous complainant alleging that the following incidents occurred on one nursing unit in a 34 week period prior to April 27, 2009, at the Edward Hines Jr. VA Hospital. On two occasions, nurses attempted to administer a medication to a patient who was allergic to the medication. A nurse failed to remove a tourniquet from a patient who was diagnosed with dementia. A patient with large wounds on the buttocks was left lying in feces because the nurse called to the bedside said the next shift should clean the patient. We substantiated that two nurses attempted to administer a medication for which the patient had a documented allergy. However, we found that nursing and the supervising physician took appropriate corrective actions. The nursing staff never administered the medication, which was discontinued prior to the next scheduled administration.