Home Health of Randolph Hospital

The skilled nurse failed to perform proper hand hygiene and infection control practices when completing wound care for 2 of 2 patients with home visits who required wound care (#6 and #9).

Direct observation and staff interview the agency staff failed to use proper hand hygiene for 1 of 3 virtual physical therapy visits (#12) and use aseptic technique during wound care for 1 of 3 nursing visits (#13).

Patient/caregiver interview the agency failed to review all current medications for 4 of 7 patients that received a virtual home visit (#2, 15, 11, and 14).

The clinical record did not include PICC (peripherally inserted central catheter) measurements for arm circumference and exposed length of the line for 1 of 2 patients with a picc line (#5).

The agency failed to review all current medications for two out of four patients who received home visits (#17 and 11).

Staff interview the plan of care lacked the following elements of: medications, psychosocial and cognitive status, rehabilitation potential, description of the patient's risk for emergency department visits/hospital readmissions, patient specific goals, information related to advanced directives…

The agency failed to communicate with the physician blood sugars outside of the identified parameters for 1 of 1 diabetic patients (#6) Findings include: Patient #6 was admitted on 06/30/18 with diagnoses of type 1 diabetes with foot ulcer, non-pressure ulcer of other pat of left foot, hypertensive…