Failure to Post Oxygen Use Signage in Resident Rooms
Penalty
Summary
The facility failed to ensure appropriate cautionary and safety signs indicating the use of oxygen were posted in 23 out of 23 randomly observed rooms where oxygen was administered. During observations on two separate days, it was noted that there were no oxygen use signs near the resident rooms, although no smoking signs were posted outside the facility and on the oxygen storage rooms. Interviews with the Nursing Home Administrator, the Director of Nursing, and the President of Clinical Services revealed a misunderstanding that no additional oxygen signage was necessary due to the existing no smoking signs. The facility lacked a specific oxygen policy related to the posting of oxygen signs.
Plan Of Correction
1. Signage was updated to reflect use inside the facility. 2. Administrator/Designee completed observation of facility entrances to verify signage stating usage is present. 3. Regional Support Team member provided education for the facility Inter Disciplinary Team related to signage posting requirements. 4. Administrator/Designee will observe the facility entrances to verify in use signage in place weekly x 4, then as needed until substantial compliance is achieved. Findings to be reviewed during the monthly Quality Assurance and Performance Improvement Committee Meeting. Modifications implemented as indicated.