Premises Information


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Name

ATRIUM HEALTH UNIVERSITY CITY

Address

8800 N TRYON ST

City/State/ZIP

CHARLOTTE

28262

Premise Type

41 - Hospitals

County

Mecklenburg

Inspection Date

4/15/2016

Final Score @ Grade

General Comments

1.Observed damaged base tile cove moulding in decontamination room in ED area. Keep all flooring in good repair. 15A NCAC 18A .1309 (a) and (b). 8. Observed some build-up in base corner of shower in room on 3rd med tele. Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f). 17. Observed build-up in water nozzle on water fountain in PACU Pre Op. Drinking fountains shall be kept clean and properly regulated. 15A NCAC 18A .1314 (a). 30. Observed dust in base of omni cell. Clean/dust base of omni cells. Medication carts shall be cleaned when visibly soiled. 15A NCAC 18A .1318 (c). 31. Observed plunger and feeding tube syringe stored on paper towel on over bed table in ICU. Recommend storing plunger and feed tube syringe in a plastic container. Feeding syringes and oral suction catheters shall be stored in a clean container. 15A NCAC 18A .1318 (d). 34. Observed linen closet door opened in exam room 34 in the ED area. Keep door closed on linen closet/ cabinet within exam rooms. Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b). 36.Clean freezer shelf on 6th floor. Non-food contact surfaces of equipment shall be cleaned at such intervals as to keep them in a clean and sanitary condition. See rule .1320 (c). 40. Observed patient food products from outside source stored in locked nourishment room with date and patient room number. Label outside food products with date and resident name! Food product properly labeled at time of inspection. Food brought from home by employees or visitors of patients or residents shall be stored separately from the institution's food supply and shall be labeled with the name of the person to receive the food and the date the food was brought into the facility. 15A NCAC 18A .1321 (b). 43. Provide thermometer in maternity refrigeration unit. All refrigerators shall have a thermometer and situated so that the thermometer can be easily read. 15A NCAC 18A .1323 (b).

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
28	0.50	Adequate storage, area clean, items properly stored	No	No	No	Observed Styrofoam cups not properly stored and needle/ equipment caps stored on pillow in Cath Lab. Observed bottle of hand sanitizer stored on the floor in CT Control room. Observed forensic paper stored on the floor in exam room 27 in ED. Observed clean supply in sterile package stored on top of bio hazard/sharps container in Endoscopy. DO NOT STORE OR PLACE CLEAN/STERILE SUPPLIES ON TOP OF BIOHAZARD/ SHARPS CONTAINER! Suitable rooms or spaces shall be provided for the storage of all necessary equipment, furniture, and supplies, and kept clean. 15A NCAC 18A .1318 (a).
33	1	Linen changed when soiled. Soiled linen handled properly	No	No	No	Observed soiled linen bins not properly labeled within soiled utility rooms. Label soiled linen bins. Carts used for soiled laundry shall be labeled for soiled laundry use only. 15A NCAC 18A .1319 (b).
35	0.50	Patient contact items in good repair, properly stored, cleaned and disinfected	No	No	No	Observed damaged liner in boot used in CT Control Room. Replace damaged boot. Observed damaged arm rest on wheel chairs used in ED. Replace damaged arm rest on sheet chairs or replace wheel chairs. Observed damaged body position and old tape adhesive on body position in Radiology. Observed torn sheet in NICU. Replace torn/damaged sheet. Patient contact items shall be kept clean and in good repair. 15A NCAC 18A .1319 (c).