Correction plan calls for equipment upgrades
Staffing changes also listed
This is the plan of correction submitted by Loyola University Medical Center in response to the statement of deficiencies issued recently by the Health Care Financing Administration after a baby was kidnapped from the hospital:
PLAN OF CORRECTION SUMMARY
I. Policy and Procedure Review/Revisions
• Collaborative review of nursing policies by nursing staff and security
• Collaborative review of security policies by security staff and nursing
o Revised Policies
• Policy No. SC-018: Security Response — Newborn Infant Security Policy
• Policy No. 13.4021.2: Visiting Newborn & Special Care Infant Nursery Policy
• Policy No. S7: Newborn Infant Security Policy
• Policy No. NA-2: Visitor Policy
o Visitor Restrictions Implemented
• Sign-in badge/log
• Photo identification/green banding
• Four-part OB banding
• Visitor hours limited and hours posted
o Daily Testing and Documentation of Security System
o Panic List for Staff at Visitor Check-in Area Posted
o Review of Nursing Staffing Levels
Reviewed nursing staffing levels in accordance with American Academy of Pediatrics and American College of Obstetrics and Gynecology standards
o Code Pink Drill Scheduled
o Security Guard Presence at Visitor Check-in Area
II. Staff Training
• All security personnel inserviced on infant safety
• All staff in maternity/newborn nursery, labor and delivery inserviced on infant safety (No staff will be allowed to work in these areas prior to receiving inservice training.)
III. Facility Improvements
• Inspected and repaired mantrap doors
• Installed override button to allow independent closure of mantrap doors by nursing staff
• Installed audible alarm inside newborn nursery
• Installed audible alarm in labor and delivery
• Installed panic button inside newborn nursery
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