Every finding on record at Hospice of North Idaho, Inc

Observed in Record Review. In 6 of 6 patient records reviewed, The Hospice nurse surveyor noted that the organization did not use accepted frequencies in the plan of care. For example, the nursing frequencies were documented at 10 PRN visits which is outside the acceptable range of 2-3. This was validated in a discussion with and observation by the Director of Clinical Operations.

Observed in Individual Tracer. In 2 of 3 home visits conducted, The Hospice nurse surveyor noted that the organization did not follow accepted standards of practice for hand hygeine. During HV 2, the nurse failed to gel her hands after removing her gloves 6 times. During HV 3, the nurse failed to gel her hands after removing her glove 2 times. This was validated in a discussion with and observation by the Director of Clinical Operations.

Observed in Individual Tracer. During record review for HV 1 and 2, the nurse surveyor observed that the care plans included 10 PRN and 15 PRN visits for the SN, which is excessive for a two week period between IDT's. This was validated in a discussion with and observation by the Director of Quality.

Observed in Individual Tracer. During HV 1 the nurse surveyor observed that the LPN failed to gel her hands after removing gloves three times. This was validated in a discussion with and observation by the Clinical Supervisor who observed the visit.