Jul 29, 2023
Here’s why a Broward ob/gyn’s office surgery registration got suspended for 30 days
No emergency intubation equipment, no proof of proper cleaning, incomplete patient records and other issues got a Pembroke Pines ob/gyn’s office surgery registration suspended for a month. The 30-day
No emergency intubation equipment, no proof of proper cleaning, incomplete patient records and other issues got a Pembroke Pines ob/gyn’s office surgery registration suspended for a month.
The 30-day suspension of Dr. Kompal Gadh’s office’s surgical license ended Monday.
As the designated physician in charge of ensuring compliance at the center that carried her name, Gadh was fined $5,000 by the state Board of Medicine for the violations at 601 N. Flamingo Rd., Suite 307. She also has to complete a five-hour continuing medical education course in laws, rules and ethics and another in risk management.
According to her Florida Department of Health’s license entry, this is Gadh’s first disciplinary case since becoming licensed in Florida on Feb. 15, 2005.
The Board of Medicine’s final order in Gadh’s discipline as designated physician said she was present, represented by attorney Brian Engel and “the facts are not in dispute” from the Florida Department of Health administrative complaint.
That complaint says a July 13, 2021 inspection revealed several shortcomings at Kompal Gadh MD, LLC.
▪ No documentation of monthly cleaning of autoclaves and no spore testing results for dates between April 21 through May 20, 2021 and June 3 through June 24, 2021.
“Autoclaves provide a physical method for disinfection and sterilization,” Princeton University Environmental Health and Safety says. “They work with a combination of steam, pressure and time. Autoclaves operate at high temperature and pressure in order to kill microorganisms and spores. They are used to decontaminate certain biological waste and sterilize media, instruments and lab ware.”
▪ Some surgical logs didn’t say who provided anesthesia and/or how long the surgery lasted.
▪ Some patient records didn’t have the pre-op evaluation done right before surgery.
▪ There wasn’t a “positive pressure ventilation device plus oxygen supply” to help with breathing should a patient become critically ill.
▪ There wasn’t an end tidal CO2 detection device, which “provides instantaneous information about ventilation (how effectively CO2 gas is being exhaled/eliminated by the respiratory system), perfusion (how effectively CO2 is being transported through the vascular system to the lungs), and metabolism,” according to a presentation for Mount Sinai Beth Israel nurses prepared by Dr. Pierre Kory and registered nurse Laura O’Brien.
▪ There weren’t monitors watching for blood pressure, EKG or oxygen saturation.
▪ There wasn’t emergency intubation equipment.
▪ There were no defibrillators with pads or gel or an automated external defibrillator unit.
▪ There was insufficient back up power in case of an outage during a procedure..
▪ There was insufficient IV solution and IV equipment..