Texas abortion clinic claims they found doc with Hospital admitting privileges: reopens

WWH Ft Worth At least two Texas clinics that stopped providing abortions after new restrictions kicked in have resumed offering the procedure, according to reports.

Whole Woman’s Health on Tuesday said its acquired hospital admitting privileges for its Forth Worth clinic and has restored access to abortion services.

That announcement follows a Friday report from the Austin American-Statesman that said Planned Parenthood’s Austin clinic resumed providing abortions last week after an affiliated doctor gained admitting privileges in a nearby hospital.

The two clinics were two of up to 14 around the state that stopped offering abortions because they did not have doctors with admitting privileges, as required under a new restriction that went into effect after an Oct. 31 court ruling.

Amy Hagstrom Miller

In an interview last week, Whole Woman’s Health CEO Amy Hagstrom Miller said there are two hospital boards meeting this month to review her company’s applications, while several more are scheduled to meet in December and January.

“I’m hoping I’ll hear something soon,” Hagstrom Miller said last week, noting that she’s optimistic about getting approved in Forth Worth and San Antonio but is holding out little to no hope for her clinic in McAllen. “We’re in a play-by-play to find out what’s going on with those applications.”

Hagstrom Miller has stated that, “Abortion is a rite of passage for many women…”

In a blog post on Sept 10th Whole Women’s Health wrote, “This week we’ve been approached by two physicians that used to work for us in the past but had since gone on to open up their own practices. Both of these physicians are highly-trained, professional, and want to come back to Whole Woman’s Health to help us keep our doors open in Texas. Obviously, we’re welcoming them with open arms.

Recently, a national pro-life organization mailed out post cards to doctor’s offices and hospitals in the state warning them that the abortion industry wanted to recruit doctors.

TX Mailers LIfe Talk Dec 2013 Life Dynamics

The group, Life Dynamics located in Denton, Texas said that the reason abortionists do not currently have hospital admitting privileges is because , “The competence and character of practitioners who work at abortion clinics is inevitably substandard and hospitals don’t want to have their reputations damaged by the stigma that accompanies both abortion and the people who do them. In addition, Hospitals realize that any link to abortion creates the possibility of protests and boycotts and may cause some patients and physicians to reject the hospital,” according to president Mark Crutcher.

WWH abortion clinic health violations Oct 2013

In October, investigators with the state of Texas cited a Beaumont abortion clinic for 13 health and safety code violations.

Whole Womens Abortion Inspection Oct 2013 non PhysicianWhole Womens abortion Beaumont Inspection Oct 2013 expired drugsWhole Womens Health Abortion clinic inspection Oct 2013

WWH Beaumont abortion clinic 13 health violations

According to Mark Crutcher, president of Life Dynamics, “Immediately after the ruling, the abortion lobby went into melt-down mode with a lot of hand-wringing and arm-flapping about how the state’s abortion clinics could not meet these standards and would have to close. This, of course, was accompanied by dire warnings that every city in Texas was about to be littered with the dead bodies of women killed because these places were being put out of business. I guess we are supposed to conclude that abortion clinics are the only things keeping women alive.”

Since the ruling, Whole Woman’s Health (WWH) has announced that they could not comply with these new safety standards and are shutting down three of their five facilities.

Crutcher points out that one of the abortion clinics which WWH will keep open is the Beaumont abortion clinic, saying, “The interesting thing is, they are going to keep the Beaumont facility open – the same one that was just found to be out of compliance with the old standards. Now on the surface, this seems odd. After all, if these people are operating a facility that can’t meet the old lower standards, how are they going to comply with the new higher ones. And my take on it is that the people over at Whole Woman’s Health might know something that we don’t know. Maybe what they know is that the facilities they are closing are even filthier than the one in Beaumont.”

We all know that abortion clinics are the upmost in good care – right? WRONG- I mean, the state has NEVER had to take an action against Whole Women’s before?
2007 TX Actions WWHLike this on in 2007

SafeandLegal 40yearsabnotsafe

Whole Women’s Health abortion clinic has been investigated by the state read here

A private company claims they found hundreds of patients’ documents and waste thrown in a dumpster at the McAllen abortion clinic . The identities of patients at a health clinic in McAllen may be at risk. An anti-abortion group says they found the trash and documents in a dumpster near Whole Women’s Health of McAllen. It’s now in the hands of the attorney general and Texas Commission on Environmental Quality.

Read more here

Earlier this year Texas Right to Life reported that Fourteen abortion centers were cited as having infractions that violated inspections, yet due to the weakness of the current law, only one was fined by the state. Although many of the violations were recorded, much of the reports was blacked out. Below is a summary of the little that is actually legible:

inspectionscollage2

Read more here

“Whole Woman’s Health and Planned Parenthood want the public to believe that abortion facilities are safe for women. A rusty suction machine, faulty sterilizing fluid, a faulty sterilization machine, holes in the floor exposing the facility to rodents, expired and unlabeled medication, and absent or poorly trained nursing staff contradict the abortion industry’s rhetoric,” said Joe Pojman, Ph.D., executive director of Texas Alliance for Life. “No woman should be exposed to such horrendous conditions. Women deserve better.”

Here is a list of some of the violations of current law cited by DSHS’ inspectors in their reports. (DSHS has redacted information from the reports that identifies staff or patients.) Some violations appears repeatedly over three years of inspections. The most recent inspection was on October 3, 2013, weeks after Hagstrom Miller’s statement.

Whole Woman’s Health of Beaumont, 440 18th Street, Ste A, Beaumont, TX 77703
WWH Abortion clinic beaumont

November 17, 2011
“Based on demonstration and interview the facility failed to ensure the staff was trained in sterilization process of surgical instruments.”
“Staff #2 did not know what a sterilization indicator was or what it is used for in the sterilization process.”
“An interview with the Administrator . . . confirmed there were not sterilization indicators in the facility.”
“[T]he facility failed to staff the clinic with a registered nurse(s) or a licensed vocational nurse(s).”
“[T]he facility administration failed to ensure staff received training, education, and orientation to their specific job description.”
“[T]he facility failed to provide a safe and sanitary environment.”
“[T]here was a drain in the middle of the room, but the cover was loose and caused a hole to be in the floor right in front of the patient’s bed.”
“[I]n procedure room #2 there was numerous rusty spots on the on the suction machine used on the patient” for an abortion.
“[T]he evacuation plan of the building was not posted for the safety of patients and employees.”
“[T]he facility failed to provide safe equipment in the patient’s procedure room.”
“[T]he facility’s staff failed to monitor the expiration dates on sterile supplies.”
“Based on observation and interview the facility failed to maintain the sterility of the surgical instruments.”
“[T]he facility failed to ensure staff was trained in CPR . . .”
“[T]he facility failed to have current emergency medication in the emergency crash cart and follow the facility’s policy.”
“[T]he facility failed to provide emergency airway equipment. This facility provides moderate sedation/analgesia which requires advanced airway management equipment.”
“During the tour of the facility on 11/15/2011 at 3:00 PM observed the three facility’s fire extinguishers were last inspection on March of 2010.”
December 19, 2012
“Based on demonstration and interview the facility failed to ensure the staff was trained in sterilization process of surgical instruments.”
“[T]he facility failed to staff the clinic with a licensed vocational nurse (LVN) that meets the experience requirements according to the facility job description for a licensed vocational nurse (LVN).”
“[F]acility staff members (#2, #4, #6, and #7) failed to perform the correct procedure for the sterilization of the surgical instruments.”
“[F]acility failed to maintain the sterility of the surgical instruments before coming into contact with the sterile field.”
“Interview with the Sterilizer Representative on 12/19/2012 at 10:00 AM at the facility revealed the sterilizer had a gasket leak and the door on the autoclave was not opening properly. Questioned when the safety checks were completed why were these problems not identified? He stated ‘that during the safety check only electrical safety is checked and not the functional checks of the equipment. The functional check is more expensive and the facilities do not want to pay for the functional check.’ ”
“The patient had increased bleeding problem after the abortion procedure had been completed. The patient was transferred by private car to the local hospital. Also a review of the record titled “Complication Log” for the past year of 2012 revealed no documentation of a patient having a bleeding complication after an abortion procedure.”
“The facility failed to follow their own Emergency Medical Protocol for a patient transfer to the hospital.”
October 03, 2013
“[T]he facility failed to provide a safe environment for patients and staff.”
“[T]he facility failed to provide safe and sanitary equipment in the patients’ procedure rooms.”
The “suction machines which were being used on patients” had “numerous rusty spots” which had “the likelihood to cause infection.”
“[O]bservation in the pathology room under the sink revealed a large hole in the cabinet flooring. The hole was approximately 6 inches in diameter and the wood was splintered around the edges. The facility was storing sterilization solutions for cleaning instruments around the hole in the floor. The hole in the flooring had the likelihood to allow rodents to enter the facility and the splintered wood edges could puncture the sterilization solutions.”
“Pre-filled medication cups with approximately 2-4 pills in each cup. The medication cups were not labeled with the patient’s name, name of the medication, nor the strength of the medication. Also, observed were medication cups that had turned over and pills had fallen out of the medication cups. Surveyor questioned staff #9 how they would know which cup the medication belongs in. Staff #9 stated, ‘by the size of the pill.’ This medication practice had the likelihood to cause an error in the patients receiving a wrong dose of medication being giving to the patient and an infection to the patient.”
“The patient’s gestation did not fall within the parameter of the providing physician at this facility.”
“[T]he facility failed to file the post abortion complication call back forms in the patients record.”
“The facility failed to have a policy or procedure for patients being assessed at the facility who had the likelihood of developing health problems that had been discovered during their visit.”
“[P]atient #10 and #13 had no documentation that the heath issues found during the patient’s visit to the facility had been followed up with by a staff member or the physician.”
“[T]he facility failed to have the electrocardiograph monitoring equipment ready if an emergency situation occurred in the facility.”
“The cables to the defibrillator were not connected. The Administrator was observed trying to replace the recording paper in the defibrillator, but was unable to feed the paper correctly into the machine. In an emergency situation this has the likelihood to cause harm to the patient.”
“[T]he facility’s Quality Assurance Committee failed . . . to ensure outdated medication were not available for patient use.”
“Based on record review and interview, the licensed vocation nurse at the facility failed to legibly write her name and credentials on 12 of 29 records reviewed.”

Whole Woman’s Health of Fort Worth, LLC, 1717 S Main St, Fort Worth, TX 76110

March 15, 2011
“The facility had not ensured a safe environment, equipped to protect the health and safety of their clients, in that, they had expired equipment in an operating room. and expired medications in the Medication Area, where these items had been available for client use” The Clinical Director verified that the equipment was expired and “had been available for client use.”
“They had not labeled unidentified liquid used in 2 of 2 operating rooms.”
“2 of 3 areas where sterile supplies were stored contained packages of tenaculums that had been sterilized in the ‘closed’ position.”
“The facility had not ensured all staff providing direct patient care were currently certified in basic life support.”
“The Clinical Director did not have a current CPR” certification.”
Several medications were “not properly stored” and found: “sitting out on the counter top,” “unlocked cabinets,” “unlocked refrigerator,” and “unlocked safe.”
“Personnel at facility were not following proper sterilization procedures” by not correctly labeling sterilized tools.

Whole Woman’s Health of McAllen LP, 802 S Main St, McAllen, TX 78501

September 25, 2012
“No evidence of compliance was provided where noncompliance was identified.”
September 04, 2013
“No evidence of compliance was provided where noncompliance was identified.”
“[T]wo out of seven staff members had expired cardio pulmonary resuscitation (CPR) certification.”
“[P]ersonnel at facility were not following proper sterilization procedures.”

Whole Woman’s Health of San Antonio, 4025 E Southcross Blvd Bldg 5 Ste 30, San Antonio, TX 78222

August 29, 2013
“No evidence of compliance was provided where noncompliance was identified.”
“Based on observations, review of staff training records, and staff interviews Whole Woman’s Health of San Antonio failed to implement and enforce acceptable environmental controls in cleaning and preparing instruments for sterilization.”
“During an inspection of sterile processing area with the clinic administrator at 11:45 a.m. on 8/23/13 staff member # 4 demonstrated the process for receiving, decontaminating, and processing surgical instruments. The demonstration revealed several functions performed in the small room were not distinctly separated and prevented the sequence of moving items from soiled to clean without cross contamination.”
” . . . no evidence of staff training for environmental requirements.”
“[T]he administrator and the director of operations following their own review of the findings revealed they could not provide evidence of compliance with the (sterilization) requirement.”
“. . . Whole Woman’s Health failed to follow manufacturer’s instructions for the effective use of disinfectants to decontaminate or reduce the bio-burden in cleaning instruments prior to sterilization.”
“Upon testing the strength of the cidex the test strip revealed it failed and ineffective for use.”

One Response to “Texas abortion clinic claims they found doc with Hospital admitting privileges: reopens”

  1. […] In Texas, another abortion clinic has re-opened after they could not get a doctor with hospital privileges to perform abortions under state law. (more here) […]

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