LABORATORY STATE FORM / A pharmacy / PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER A. BUILDING B. WING ENLOE MEDICAL CENTER / CA230000013 NAME OF PROVIDER OR SUPPLIER ENLOE MEDICAL CENTER / WING NAME OF PROVIDER OR SUPPLIER ENLOE MEDICAL CENTER / I pharmacy / MULTIPLE CONSTRUCTION A. BUILDING B. WING NAME OF PROVIDER OR SUPPLIER ENLOE MEDICAL CENTER / /
IndustryTerm
software system / assessment tool / drug order processing / drug product / administration equipment / administration devices / infusion device / food / pharmaceutical services / computer software / information technology / software data / software update / pharmacy software upgrade / chemicals / /
MedicalCondition
ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCY / headache / serious injury / injury / TO THE APPROPRIATE DEFICIENCY / paralysis / EACH CORRECTIVE ACTION SHOULD BE CROSS-REFERENCED TO THE APPROPRIATE DEFICIENCy / peripheral artery disease / potent blood clot / large right intracerebral hemorrhage / deficiency / right sided intracranial hemorrhage / /
P&T committee / FORM APPROVED California Department / Quality Management Department / Certification Division / 1\ Licensing and Certification Division / PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER A. BUILDING B. WING ENLOE MEDICAL CENTER / CA230000013 NAME OF PROVIDER OR SUPPLIER ENLOE MEDICAL CENTER / Patient Safety Committee / Neuro Trauma Intensive Care Unit / Licensing and Certification Division / Medication administration / FORM APPROVED Ca1ifornia Department of Public Heahh STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION / California Department of Public Health / WING NAME OF PROVIDER OR SUPPLIER ENLOE MEDICAL CENTER / BUILDING B. WING NAME OF PROVIDER OR SUPPLIER ENLOE MEDICAL CENTER / Ongoing Medication administration / /
Position
representative and the administrator / care physician / licensed nurse / pharmacist / physician / second nurse / Consultant / Pharmaceutical Service General / department manager / pharmacist / the director of nursing service / physician for [order] clarification. / Chief Operating Officer Vice President / Manager for staff / nurse / second licensed nurse / representative / surgeon / /
PRINTED: [removed]FORM APPROVED California Deoartment of Public Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION