![\"\"](\"http:\/\/www.fieldsinc.com\/wp-content\/uploads\/2014\/02\/08Kathleen-Ostowski-293x300.jpg\" "\\"08Kathleen")
<\/a><\/h1>\nKathleen Ostrowski, RN, BSN, MPA, CNRN – HAP Nurse<\/h1>\n
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Surveyor Program(s)<\/strong>:\u00a0Accreditation Manual for Hospitals<\/span><\/p>\nSurveyor Tenure<\/strong>: x 2005<\/span><\/p>\nLives<\/strong>: Indiana <\/span><\/p>\nTJC Bio: <\/strong>
\n<\/span><\/p>\n\n- Assistant Vice President for Nursing and Service Line Manager for Neuroscience at the Methodist Hospitals in Merrillville and Gary Indiana.<\/span><\/li>\n
- Diploma in Nursing from South Chicago Hospital School of Nursing, a Bachelor of Science in Nursing from Lewis University, Lockport Illinois and a Master in Public Administration from Indiana University, NW<\/span><\/li>\n
- Background in Critical Care areas of Neuroscience, Cardiac and Trauma
\n<\/span><\/li>\n<\/ul>\n Other Background<\/strong>: <\/span><\/p>\n\n- xxxxx\u00a0<\/span><\/li>\n
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Comments & Recommendations
\n<\/strong><\/span><\/p>\n2008<\/strong><\/span><\/p>\n\n- She admits not much psych background and she tends not to delve into psych issues. Rather focuses on medication management, med errors (may ask what is your most common med error), PI implications of data, contracts.\u00a0 Very safety minded and very observant.\u00a0 Wants to see pt ed documented in chart. Likes to teach.<\/span><\/li>\n
- Let her teach.\u00a0 She sometimes allows org to pick patients so be prepared. Doesn’t like a large entourage so limit her escorts and use medically oriented staff<\/span><\/li>\n
- She like our honesty in reporting less than 100% compliance with NPSG 7c<\/span><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n2006<\/span><\/strong><\/span><\/p>\n
\n- xxxxx\u00a0<\/span><\/li>\n<\/ul>\n<\/div>\n\n
Relevant<\/strong><\/span>\u00a0Survey History<\/strong>:
\n<\/span><\/p>\n\n\n\n\u2022 Eastern Louisiana Mental Health System\u00a006\/06\/08\u00a0<\/span><\/span><\/td>\n \u2022 Choate Mental Health Center 12\/15\/16<\/span><\/span><\/td>\n<\/tr>\n\n\u2022 RST Forensic Treatment Center 1105 <\/span><\/span><\/td>\n <\/td>\n<\/tr>\n \n<\/td>\n <\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n102<\/span><\/span><\/p>\n\u00a0<\/span><\/p>\n<\/div>\n
\n ** Sample Survey Citations (Premier Level)** <\/span><\/p>\n[private Membership premier]<\/p>\n
[\/private]<\/p>\n
\nSample Citations:<\/span><\/strong><\/span><\/p>\n2008<\/span><\/strong><\/p>\n\n- NPSG.2c\/EP3<\/strong><\/span>:\u00a0Timeframe for internal notifications not adequately defined.<\/span>
\n\u00a0\/Indirect\/\u00a0<\/span><\/li>\n- PC.04.10\/EP 2<\/strong><\/span>: Treatment plan inadequately reflecting medical care. \/Indirect\/\u00a0<\/span><\/li>\n<\/ul>\n
\n- IC.02.10\/EP 3<\/strong><\/span>: Mold problem in radiology dept room. \/Indirect\/\u00a0<\/span><\/li>\n<\/ul>\n
\n- HR.01.20\/EP 3<\/strong><\/span>:\u00a0No PSV of beautician license. Barber with no license.<\/span><\/li>\n<\/ul>\n
\u00a02006<\/strong><\/span><\/p>\n\n- NPSG.01A<\/span>:<\/strong>\u00a0Observed in Tracer Activities: \u00a0while watching an RN pass out medications, that in three cases he identified the patients using a picture on the MAR. However he did not ask the patients their name or for any other second identifier. He admitted that since he knew the patients so well he felt he needn’t bother.<\/span><\/li>\n
- NPSG.03C<\/span>:<\/strong>\u00a0Observed in Individual Tracer: \u00a0When\u00a0the night pharmacy was reviewed. The refrigerator contained several vials of insulin\u00a0including Novulin N and R in like packaging. There was no indication these were segregated or labeled to\u00a0reflect the high alert of a look alike and sound alike drug.<\/span><\/li>\n<\/ul>\n
\n- LD.03.70\/EP1<\/span>:<\/strong>\u00a0Observed in Competency Review: \u00a0For the pharmacy delivery personnel there were no competency standards set or policy for provision of this procedure. The personnel records reviewed contained no evidence of supporting documentation for competence to handle prescription medications or class two drugs. Additionally, the personnel assigned to this task of picking up and delivering all medications between the Pharmacy and Inpatient Care Units were lower status employees, not licensed nor certified, and had not participated in any medication programs. Finally, there were no criminal background checks found within these records.
\n<\/span><\/li>\n- PC.08.10\/EP3<\/span>:<\/strong>\u00a0Observed in Individual Tracer: \u00a0The same patient was noted by a different RN to have pain of 7, given the\u00a0analgesic which was noted an hour later to be “effective”. There was no further pain assessment on the\u00a0chart despite the fact that the underlying cause of the tooth pain had not yet been treated. There is no hospital policy to guide RN’s as to how often a patient with a score of 7 should be reassessed for pain.<\/span><\/li>\n<\/ul>\n
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![\"\"](\"http:\/\/www.fieldsinc.com\/wp-content\/uploads\/2014\/02\/08Kathleen-Ostowski.jpg\" "\\"08Kathleen")
<\/a><\/h1>\nSurveyor Tenure<\/strong>: x 2005<\/span><\/p>\n Lives<\/strong>: Indiana <\/span><\/p>\n TJC Bio: <\/strong> Other Background<\/strong>: <\/span><\/p>\n Comments & Recommendations Relevant<\/strong><\/span>\u00a0Survey History<\/strong>: 102<\/span><\/span><\/p>\n \u00a0<\/span><\/p>\n<\/div>\n ** Sample Survey Citations (Premier Level)** <\/span><\/p>\n [private Membership premier]<\/p>\n [\/private]<\/p>\n Sample Citations:<\/span><\/strong><\/span><\/p>\n 2008<\/span><\/strong><\/p>\n \u00a02006<\/strong><\/span><\/p>\n <\/p>\n <\/p>\n
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\n \u2022 Eastern Louisiana Mental Health System\u00a006\/06\/08\u00a0<\/span><\/span><\/td>\n \u2022 Choate Mental Health Center 12\/15\/16<\/span><\/span><\/td>\n<\/tr>\n \n \u2022 RST Forensic Treatment Center 1105 <\/span><\/span><\/td>\n <\/td>\n<\/tr>\n \n <\/td>\n <\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
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