Medication Consent Form Lacked Physicians' Signatures

The Georgia Healthcare Facility Regulation Division cited Laurel Heights Hospital for a violation related to medical consent following a complaint investigation.The Division found that “the facility failed to ensure the medication consents were appropriately documented and witnessed according to facility policy” in one patient case. Review of the patient’s “Medication Consent Form” revealed that it lacked evidence of the physicians’ signatures and dates. An interview with a nurse at the facility further revealed that the physician does not always sign and date the consent form and that a witness is not always present when the physician obtains patient/guardian consent for treatment. As a result, the facility was required to submit a plan of correction to address its cited deficiencies and revise its deficient policies and procedures.