| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 531311 | (X3) Date Survey Completed 09/29/2016 |
| Name of Provider or Supplier Crook County Hospital | Street Address, City, State 713 Oak Street, Sundance, WY | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| C0278 | PATIENT CARE POLICIES CFR(s): 485.635(a)(3)(vi) [The policies include the following:] A system for identifying, reporting, investigating and controlling infections and communicable diseases of patients and personnel. This STANDARD is not met as evidenced by: Based on observation, policy review, and staff interview, the facility failed to ensure laryngoscope blades were disinfected prior to use in 1 of 1 storage area (emergency room crash cart). The findings were: Observation on 9/27/16 at 9:12 AM revealed 15 multi-use laryngoscope blades stored in the emergency room crash cart that were unpackaged. Interview with nurse practitioner #1 on 9/27/16 at 9:12 AM confirmed the laryngoscope blades were not packaged and were available for use. Review of the 7/3/14 policy titled, "Autoclave" showed the following, "ET [endotracheal] Blades: After blades have been used clean with instrument soap as you would with other instruments. Place on sink to air dry, after they are dry, wipe blade with sani wipes, place in stainless steel container, and take to autoclave area. Infection control person will place blade in an autoclave sleeve, mark that it is clean not sterile, and return to crash cart..." |