Atrium Health at Home Lincoln

Staff interviews the registered nurse failed to follow acceptable infection control practices when completing wound care for 1 of 2 patients receving a home visit for wound care [#11]. The findings included: Patient # 11 had a Start of Care date of 9/28/24 and admitting diagnoses of disruption of…

The agency failed to include all medications on the plan of care for 3 of 6 home visits conducted (16,12, and 15).

Staff interviews the Plan of Care [POC] failed to include wound care orders for 1 of 2 home visits which included wound care [#11]. The findings included: The policy, Plan of Care and Provider Orders, was provided by employee # 2 on 1/15/25 at 8:30 am.

The agency failed to include all vital signs as ordered for 4 of 17 records reviewed (16, 6, 7, and 14).

Staff interviews the agency failed to document a wound assessment in the clinical record for 1 of 2 patients receiving a home visit for wound care [#11]. The findings included: Patient # 11 had a Start of Care date of 9/28/24 and admitting diagnoses of disruption of external operation wound [wound…

Staff and patient interview the agency failed to review all current medications for 2 of 6 patients that received a virtual home visit (#12 and #17) Findings included: 1.Patient #12 was admitted on 12/25/21 with diagnoses of multiple fracture of ribs right side, wedge compression fracture third…

Staff interview the agency failed to coordinate care with the physician regarding a reported fall for 1 of 1 records reviewed (#5).

Staff interview the clinical record failed to include CVC (central venous catheter) measurements for 1 of 2 charts with central line catheter (#11).

The staff the agency failed to follow the Physician's orders related to the placement of black foam [open pore foam that allows drainage to be removed from a wound] and use of a contact layer [a type of dressing used to protect fragile tissues in a wound bed] in relation to the use of a wound vac…