South Lyon Senior Care And Rehab Center

family wanted the nurse's last name and there was some confusion over who he was talking to on the phone because he asked for a nurse but gave CNA 'B's name.

When queried about whether the facility conducted any investigation regarding R801's change in condition, the DON said an investigation was done to make sure the CNA was not giving family information that should have been given by the nurse. At that time, the DON was asked to provide the investigation, and she said she was not sure she had anything documented.

When queried about whether she knew what happened with R801, the DON said she thought he was being discharged to another facility and was treated for hyperglycemia (high blood sugar).

When queried about whether R801's blood sugar should have been checked as part of the nursing assessment during a change in condition, the DON said she thought it was. A review of an investigation provided by the facility revealed nothing about R801's change in condition and was only to address whether CNA 'B' gave the phone to LPN 'A' when R801's family called.A review of a facility policy titled, Acute Condition Changes - Clinical Protocol, undated, revealed, in part, the following, .Before contacting a physician about someone with an acute change of condition, the nursing staff will make detailed observations and collect pertinent information to report to the Physician; for example, history of present illness and previous and recent test results for comparison .Phone calls to attending or on-call physicians should be made by an adequately prepared nurse who has collected and organized pertinent information, including the resident's current symptoms and status .

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