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Show 'Serious problems' State imposes restrictions on hospita Service at the Summit County hospital has been deeply curtailed after what the county called "an emergency meeting" Tuesday between the county commissioners and the State Department of Health. Utah health official Michael Stapley said a state report presented to the county coun-ty found serious problems in protecting hospital patients from infection. It also cited procedural defects, such as nurses dispensing medication without proper authorization. The hospital, it said, is out of compliance with state regulations. As of this writing, the hospital will not admit new patients, will not perform surgery, and will review the seven cases now in the facility for an early discharge. The emergency room will continue to operate. Stapley emphasized the new order was a restriction on the hospital, not a shutdown. shut-down. The state report stemmed from an inspection of the hospital made in early February, he said. County Clerk Reed Pace said the county commission was not taking the report lying down. "The state hasn't got anything to back up their accusations." Pace said there have been no illnesses related to deficiencies deficien-cies at the hospital. A meeting was tentatively planned for Thursday between be-tween state officials, the county and Advanced Health Systems, which manages the facility. The biggest problem is the hospital's own structure,-ac-cording to Stapley, director of the office of Management and Planning for the Health Department. It creates difficulties dif-ficulties in protecting patients pa-tients from infection. The surgical area, which should be sterile, is adjacent to germ -accessible areas such as X-ray, the emergency emergen-cy room the delivery room, and a lounge, he said. Other hospitals employ a double-door double-door area as a buffer between be-tween surgery and the other services. The hospital's air circulation is also reported to be deficient. The report charged the surgical' area does not have sufficient air movement and pressure for cleanliness. Defects are also cited in staff procedure. "You have a nurseanesthetist dispensing medication without a doctor's doc-tor's written authorization," he said. Nurses are adding intravenous (I.V.) fluid without authorization. Licensed Practical Nurses (LPN's) are administering I.V.s without the training to spot possible adverse reactions, reac-tions, he charged. Other deficiencies cited include the following : The state's report mentions men-tions the importance of a Registered Nurse (RN) on 24-hour-duty to supplement the LPN. But Stapley said the state has not verified whether the hospital has an RN RNs and LPNs are acting act-ing as first assistants in surgery, when their stan Planning Coinin iimjimjimim i nmu "Mil mmin iiiMnaynmr mmr nwaiOT -m-mmrmimMn - liiw hit- i n - tvmtmmt.'ummmwmmm mmwmmm mmmm ms mm mm w MOTIONS - ,Y V y Cl CCOWIIKU lit DAVIDSON K. W UTS D. BEKKETT B. MAM MEN W. BISHOP ('. ( Al.DKK I .wif mw ! mi mmm hi 1 1 tin kwiibww wiikiim in MiMiiMWin mihiim ir-in " ;mn(---w-----Ma--B--aaBBaB--aM. Approval of minutes for Feb. y,,s absent yes j yes yes yes absent Table Silver Pine condos for nQ yQS yes yQS yes yes n0 staff review of ordinances. Approval of Silver Bird condos -24 units in Silver Lake area abstain 'SS 3 yes yeS yes yes of Deer Valley. Adoption of policy for yes yes yes yes yes temporary buildings. S ' Approval oj ordinance to flfa simplify processing for minor j J j s J subdivisions. Change for conditional use of .?es yes yes absent -VeS Skiers Lodge, 1235 Norfolk Ave. . ( I j 1 .... . dard training does not prepare them for that function. func-tion. Prospective surgical patients are not getting a prior history or assessment performed by either the attending at-tending physician or the anesthetist. The pharmacist is filling some medication orders without a physician's signature. The facility does not have a "suspect nursery" for infants or newborns with possible contagious diseases. There is no separate emergency area. Major problems in the kitchen area cited are air pressure, which could spread bacteria from dirty dishes, and an open dump-ster dump-ster which receives hand- Preparing for the worst by Morgan Queal It might look funny to see grown men, in masks and weird clothing, crawling around on the floors of the Marsac building. But the participants take it very seriously. They are the volunteer firefighters of the Park City Fire Protection District who come out every Monday night for training in such areas as search and rescue, communications, laying out hose and "rolling" the big red trucks. There's no standing around and socializing at the weekly sessions. Business starts promptly at 7 p.m., usually with a classroom session at the fire station on Park Avenue. Last Monday's group of some 30 veteran and rookie volunteers heard a lecture by Summit Park volunteer Carl vViniers on the dangers of a hydrogen sulphide gas, which, he noted, can kill in seconds flat. Chief Dave Sundquist and Kelly Gee, a lieutenant with the district led a discussion on working with law officers and medical teams on vehicular vehic-ular accidents. Later, the groups- broke up for more individualized training. On Monday. (.'apt. Jim White ltd the group in a simulated search and res carried waste from dietary personnel. The report also says the hospital does not have "governing body input," and asks who is monitoring physicians and regulating physician privileges. Stapley said the state's report was issued last Friday, and, given the problems, the department considered restricting the hospital that same day. Hut the state decided to wait for the regular commission meeting, he said. The hospital, he said, had been previously inspected by Medicare officials in 1981. Their report noted many of the same defects the state inspection found. "The Coalville hospital has a history of licensing problems." County Clerk Pace '-aid he v. cue, described as the most difficult operation in fire-fighting. fire-fighting. Volunteers moved to the Marsac building, dressed up in complete firefighting outfits out-fits with oxygen tanks and gas masks and were blindfolded blind-folded and sent, into rooms in two-man teams to search for victims. White explained that in a real fire situation, smoke in a building may bring visibility visibil-ity to zero, hence the use of blindfolds. Teams must crawl on the floor, searching every inch of a room for victims and must do it in 25 minutes before the oxjgcn in their breathing apparatus runs out. Trainees found a small pretend victim Monday in the form of Josh Craigle. 6, who was accompanying his father, John, on the training session. A little body, volunteers volun-teers agreed, is easy to pull from a smoke-filled room. But what if it's an unconscious uncon-scious adult? White emphasized the urgency ur-gency of completing the operation before the breathing breath-ing apparatus sounds its alarm, signalling there are five minutes of oxygen remaining. "If you're not going to make it," While said, "you must k'uv'e the victim and come out yourself. your-self. Otherwise, somebody How the Vff.y : 1 f, unission J 'w Li t 1 A has heard comments that challenge the State Department Depart-ment of Health. "Dr. Bosworth has said the surgery is a good arrangement. And he says many big hospitals don't have air circulation as good as ours." Hospital administrator Mike Shaw was in California at Advanced Health's corporate cor-porate headquarters, but Pace said he sat in on the Tuesday meeting via a telephone conference call. "The commission told him he'd better gst his butt back over here," said Pace. The commission had been pondering alternatives to help the ailing hospital since Advanced Health announced last week it was financially unable to support it. "But this completely changes the 7v J' ,7" else will have to go in for both of you." Trainees agreed it would be a tough decision to leave an unconscious victim in a burning building. White noted it's difficult to simulate an actual fire situation, where the rescuer has to contend with intense smoke, heat, dripping water, poor communications with his partner and the inevit-. able adrenaline rush. Another group of veteran volunteers Monday was back a t the fire station undergoing training on the district's communications simulator. Assistant Chief Jim Santy explained that the microphones micro-phones and earphones are set up to simulate communications communi-cations among fire stations, sheriff's offices and ambulance ambu-lance stations that are in contact during an actual fire or emergency situation. In one mock disaster a school bus was overturned after colliding with an oil truck and trainees went through the entire process of deploying equipment and manpower to the scene. They later discussed potential on-t on-t he-scene, operations. "Use bystanders," Santy sjid, "to get the uninjured kids off the bus and away from the scene. The screaming, scream-ing, yelling kids probably are going to be okay; it's the quiet ones that may be ft m mm- ballgame," said Pace. "It's been such a bombshell they've hardly had time to react." A state spokesman told KPCW that he knew of no action ac-tion that would be taken against Advanced Health. Coalville is the first hospital to be visited as part of a revitalized state licensing licen-sing program. "We haven't had a very good inspection program," said Stapley, "but there has been an attitude at-titude change in the department." depart-ment." This was triggered by state legislation passed in 1980, he said, which clarified the powers of the Health Department. He said that if local residents desire to keep the hospital going, many of the problems can be worked out. photo by Morgan Queal injured and in shock. "I hope it never happens," he added. Volunteers go through six months of training as probationary proba-tionary firefighters before they are full volunteers. They learn all the basics, from how a fire hydrant works to driving the several large vehicles, including the huge ladder truck that's the pride of the department. Rookie firemen are paid $4 for actual firefighting time during their probation; full volunteers, who are considered con-sidered part-time employes, earn $8 an hour for firefighting. firefight-ing. The fire district commission commis-sion is working on a plan to hire nine full-time firemen to man the Park City station with three-man shifts, 24 hours a day, seven days a week. Shifts require three men because that's how many it takes to "roll" a truck to answer any kind of fire call. With a full-time department, depart-ment, response time would be cut considerably, and volunteers would not be called from their homes in the middle of the night so often to put out dumpster fires or answer calls to smoke scares. But all agree that the volunteers would continue to be the mainstay of the department. Next Friday and Saturday, March 6 and 7th, KPCW will broadcast live the Regional Basketball Tournament. KPCW will be broadcasting all Park City North Summit and South Summit games. Stay tuned to KPCW for dates and times. KPCW would like to thank the following people for underwriting: All Park City Regional Games are being underwritten by The Newspaper. All North Summit Regional Games are being underwritten by Dean's Coffee Shop and Restaurant. All South Summit Regional Games are being underwritten by Wave Publishing. i to: ss ' 4.4 Acres - Horse Property 3,400 sq.fi. Ranch Style Home New i onsliuclutn features 4 bedrooms, 4 baths, den, 2 rec real ion rooms. 2 fireplaces, 1 wood stove, wet bar with guest quarters. Quulily construction of shake shingles, wood windows maintenance-free siding, covered porches, etc. Now ready for interior selections. hr more information, call Don at 649-432 MOUNTAIN REALTY 649-980 1 . The Newspaper Thursday, March 4, 1982 Page A5 mmm 41" ' - KPCW also thanks North Summit High School Principal Dr. Sheldon Richins for allowing the games to be broadcast March 4 -10 Only! 50 off on all Wool Sweaters and Socks Cashmeres Selected Shirts Park Avenue Clothing & Collectibles 513 Main Street, Park City 649-1385 10-6 Monday - Saturday 12-5 Sunday OUNTAIN REALTY 1030 PARK AVENUE 649-9891 4 ' m i! P ! i! I il 1 0 I EWESffBEffgna 4 , 4 f SBmmSSSSi |