Significant Discrepancies found at Indianapolis and Bloomington Abortion Facilities

Recent surveys from the Indianapolis State Department of Health (ISDH) show poor medical practices at four Central and Southern Indiana abortion facilities: Indianapolis’ Planned Parenthood, Clinic for Women and Women’s Medical Group, and Planned Parenthood in Bloomington.

Click the links below to view the ISDH surveys for each facility:

Planned Parenthood – Georgetown Rd. facility

Among the deficiencies:

  • Of 30 patient medical files reviewed, 26 were incomplete or lacked documentation. Errors and omissions included type of procedure, medical history, discharge orders, discharge plan and time of discharge, documentation of vitals and documentation of physical exam.
  • 4 patients received IV sedation with no record of proper physical exam. 4 other patients received IV Valium without proper record of a physical exam.
  • Of 20 records checked for post-abortion procedures, 17 had no record of vital signs being checked in an appropriate manner.
  • During recovery, if a patient’s oxygen level drops below 93% a clinician should be notified and if it drops below 90% oxygen should be started. 18 of 30 patients had no documentation of oxygen saturation levels being properly monitored. One patient had oxygen levels recorded at 76% and no clinician was alerted, nor was there any documentation that oxygen was started.
  • 17 of 18 patients checked received the same dose of 100mg. of Fentanyl, even though dosage should be determined by weight.  Maximum dosage is 100 mg.
  • 30 out of 30 patients checked did not receive post abortion hygiene instructions.
  • There was no documentation of the approval of any type of infection prevention procedures, as is required.
  • 4 out of 8 employees had no record of immunization against Rubella, Ruebeola or Varicella.  2 employees had no documentation of immunization against Hepatitis B.
  • 7 of 30 patients receiving IV sedation had no documentation of proper screening for potential allergies or a proper medical history.
  • 2 patients receiving Valium had no documentation of proper screening for allergies, or medical history including prior surgeries.
  • Vaccines were found to be improperly stored with improper records of storage temperature and/or dates of when the vaccines were last checked.
  • Planned Parenthood – Bloomington facility

    Among the deficiencies:

  • 16 of 30 patient medical records were incomplete or deficient. Deficiencies included no medical history, incomplete medical history, no record of informed consent, no discharge information.
  • 21 out of 30 patients had no record of a physical exam and no completed medical history prior to their abortion.  8 of 10 had no history before a medical abortion, 13 out of 20 had no history prior to a surgical abortion.
  • 18 of 20 patients did not have their vital signs checked appropriately.
  • 20 of 20 patients received no discharge instructions.
  • 2 out of 2 newly hired personnel had no record of TB testing, 1 newly hired employee had no record of immunization against Mumps, Measles or Rubella, 2 employees had no record of immunization against Hepatitis B.
  • 2 of 3 newly hired health care assistants had no records to verify professional competency.
  • There was no record to indicate laundry had been done in hot water for four months.
  • Several vials of controlled medications were open and not properly dated, including Lidocaine and Diazapam.
  • Facilities were noted to be dirty and unsanitary, including build up of old gel on ultrasound machine, dust on air vents including dusty cabinets above hand sanitizers and dry wall dust from previous renovations.
  • A patient who listed a language other than English was provided no interpreter.
  • Women’s Medical Group

    Among the deficiencies:

  • Lack of verification of patient ID and no procedures to check and verify patient ID.
  • No documentation of Physician and Nurse reviews of procedures nor proper documentation of some staff meetings.
  • Medical records improperly stored in unlocked room with significant fire hazards.
  • Sterilization procedures were not followed.
  • Soiled items were soaking in scrub sink used by surgeon.
  • Procedure rooms had no hand washing stations or sinks.
  • Staff observed carrying soiled laundry with gloves which they did not remove prior to working with patients.
  • Washer and dryer located with uncovered supplies, clean and dirty laundry stored in the same space.
  • Bathrooms did not meet building codes.
  • Ceiling tiles were observed to be missing and broken;  medical supplies stored beneath broken or missing ceiling tiles.
  • Dead bugs and debris observed in lighting fixture.
  • Expired vials of medication and expired IV bags observed.
  • Medication kept in insecure, unlocked and unsupervised environment.  Contractors were observed entering area where medications were accessible.
  • Clinic for Women

    Among the deficiencies:

  • In 6 out of 30 records medical documentation was poor or incomplete, including inaccurate information regarding which medications were given to patients.
  • 6 out of 6 staff members had no records on communicable disease history.
  • 6 out of 6 staff members had no documentation of immunizations for Rubella, Rubeola, or Varicella.
  • 18 of 30 patient records had inadequate information regarding medications given prior to the abortion procedure.
  • 8 other patients had inadequate information regarding medications given after the abortion procedure.
  • Dust was found on the ultrasound machine, blinds were noted to be excessively dusty, exam tables were noted to be torn with foam protruding from beneath the leather covering, There was no documentation that the facility had been cleaned for 3 months.