Date Issued
|
Report Number
15-00601-376
Open
Closed-Implemented
Closed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 12/15/2015
We recommended that facility managers ensure that licensed independent practitioners who perform emergency airway management have the appropriate privileges granted to match their skills and training.
No. 2
to Veterans Health Administration (VHA)
Closure Date: 3/2/2016
We recommended that the facility reduce credentialing and privileging folders to the two-part format.
No. 3
to Veterans Health Administration (VHA)
Closure Date: 12/15/2015
We recommended that the Operating Room Committee include the Chief of Staff as a member and that committee minutes reflect review of National Surgical Office reports.
No. 4
to Veterans Health Administration (VHA)
Closure Date: 3/2/2016
We recommended that the facility establish a committee to provide oversight of the safe patient handling program.
No. 5
to Veterans Health Administration (VHA)
Closure Date: 12/15/2015
We recommended that Infection Control Committee meeting minutes consistently reflect discussion of all identified high-risk areas.
No. 6
to Veterans Health Administration (VHA)
Closure Date: 12/15/2015
We recommended that facility managers ensure all buildings designated for health care occupancy at the Lake City campus have fire drills conducted once per shift per quarter and monitor compliance.
No. 7
to Veterans Health Administration (VHA)
Closure Date: 12/16/2015
We recommended that facility managers ensure negative air pressure systems in the Gainesville campus surgical intensive care unit are functional and monitor compliance.
No. 8
to Veterans Health Administration (VHA)
Closure Date: 12/15/2015
We recommended that facility managers ensure Gainesville campus locked mental health unit stationary panic alarm testing includes documentation of VA Police response time and ensure testing of portable panic alarms and monitor compliance.
No. 9
to Veterans Health Administration (VHA)
Closure Date: 12/15/2015
We recommended that facility managers ensure designated employees complete competency assessment on the use of emergency evacuation devices and monitor compliance.
No. 10
to Veterans Health Administration (VHA)
Closure Date: 7/14/2016
We recommended that engineering managers ensure all Gainesville campus construction workers wear VA-issued identification badges and that facility managers monitor compliance.
No. 11
to Veterans Health Administration (VHA)
Closure Date: 12/15/2015
We recommended that facility managers ensure that oral syringes are available for liquid medications in all units/areas at the Lake City and Gainesville campuses and that they are stored separately from parenteral syringes to minimize the risk of wrong-route medication errors.
No. 12
to Veterans Health Administration (VHA)
Closure Date: 12/15/2015
We recommended that employees screen inpatients to determine whether they want to have a discussion about advance directives and document the screening and that facility managers monitor compliance.
No. 13
to Veterans Health Administration (VHA)
Closure Date: 12/15/2015
We recommended that the facility revise the emergency airway management policy to include a plan for managing a difficult airway.
No. 14
to Veterans Health Administration (VHA)
Closure Date: 6/25/2015
We recommended that the facility ensure initial clinician emergency airway management competency assessment includes evidence of a completed written test and that facility managers monitor compliance.
No. 15
to Veterans Health Administration (VHA)
Closure Date: 12/15/2015
We recommended that the facility report provider specific emergency airway management data to the Operative and Invasive Procedures Committee.