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PRINTED: [removed]FORM APPROVED California Department of Public Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
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Document Date: 2014-01-30 14:45:59


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City

SAN JOSE / /

Company

CA 95128 I COMP / X5 / /

Event

FDA Phase / /

Facility

CA070000149 NAME OF PROVIDER OR SUPPLIER I SANTA CLARA VALLEY MEDICAL CENTER / CA070000149 NAME OF PROVIDER OR SU PPLIER SANTA CLARA VALLEY MEDICAL CENTER / ZIP CODE SANTA CLARA VALLEY MEDICAL CENTER / A. BUILDING / OF PROVIDER OR SUPPLIER CLARA VALLEY MEDICAL CENTER / /

IndustryTerm

life support systems / personal intercom communication device / /

MedicalCondition

brain injury / EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY / serious injury / APPROP lATE DEFICIENCY / left subarachnoid hemorrhage / cardiac arrest / severe anoxic brain InJury / /

MedicalTreatment

cardiopulmonary resuscitation / emergency treatment / /

NaturalFeature

MT ·1 / /

Organization

Transitional Care Neurosurgery Unit / California Department / SANTA CLARA VALLEY MEDICAL CENTER / Nursing Administration / FORM APPROVED California Department of Public Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION / Certification DIVISion / California Department of Public Health / ZIP CODE SANTA CLARA VALLEY MEDICAL CENTER / Care Unit / CA070000149 NAME OF PROVIDER OR SU PPLIER SANTA CLARA VALLEY MEDICAL CENTER / ·xecutive Nursing Council / L1cens1ng and Certification DIVISion / FORM APPROVED Californta Department / OF PROVIDER OR SUPPLIER CLARA VALLEY MEDICAL CENTER / /

Person

Critica / Prior / Implementing Patient / /

Position

Health Facilities Evaluator Nurse / Nurse Manager / Director / registered nurse / monitor technician / Executive / nurse / physician / REPRESENTATIVE / technician / /

Product

XVHK1 / XVHK11 / Califom1a / X1 / /

ProgrammingLanguage

R / /

ProvinceOrState

Nevada / California / /

Technology

X-ray / asl / tomography / paging system / Neurosurgery / /

SocialTag