January Featured Scenario F-309 Provide Care/Services for Highest Well Being: EMERGENCY RESPONSE

In this self reported incident investigation and partial survey, the facility failed to provide CPR. Based on closed clinical record review, interview with facility staff and an X-ray Technician, review of the policy and procedure for "Emergency or Acute Treatment-Long term Care", the facility failed to provide necessary care and services when nursing staff did not implement Cardiopulmonary Resuscitation (CPR) for a Resident. This resulted in Immediate Jeopardy for one of 10 sampled residents. The facility identified 31 residents with "Full Measures" advanced directives for CPR. On 02/11/10, the Administrator and the Director of Nursing were notified Immediate Jeopardy began on 01/30/10 when facility staff found Resident unresponsive, not breathing and without vital signs. LPN #10 and LPN #11 did not initiate CPR or call emergency medical service (EMS/or 911).

What actions would you and your staff members take to prevent this from occurring in your facility?