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So Banchongmanie got his license -- and promptly ran up another list of violations at the next inspection. Did he do any better in 1984?

Deficiencies cited in the first 1984 inspection, in May, included:

• counselor, office clerk, receptionist, and bookkeeper performing pregnancy tests
  
• sterile supplies outdated or not dated
  
• sterilized equipment stored in dirty, dusty areas
  
• gas sterilization equipment needed cleaning and it could not be determined to be functioning effectively
  
• outdated laboratory supplies
  
• lab equipment needed cleaning and monitored for proper calibration
  
• outdated medications throughout facility
  
• infection control minutes noted growth of culture on abortion instrument pan
  
• procedures did not specify what solutions were being used as disinfectants
  
• infection control meetings sporadic, no physician documented as attending
  
• unqualified administrator
  
• incomplete employee records
  
• physician not remaining at the facility until all patients are discharged; one document noted physician left at 4:15 but was called back, arriving at 5:15, to attend to patient with complications
  
• no agreement for ambulance service
  
• not all medical records legible
  
• no documentation of medications administered or ordered
  
• lack of pre- and post-operative nurses' noted including vital signs
  
• one RN on duty to supervise both surgery and recovery
  
• no arrangements for adequate blood supply
  
• unidentified cups of pills in recovery room
  

Violations galore. Is anybody surprised? Does anybody think that when the inspectors returned in June, they'd find any substantial improvement in the way Banchongmanie was running his business? Well, evidently hope springs eternal among Kentucky abortion clinic inspectors, who kept expecting Banchongmanie to clean up his act. But, of course, he did no such thing. Deficiencies noted in the June 1984 non-compliance revisit included:

• 6 of 10 patient recliners did not have protective covering
  
• autoclave room cluttered with boxes, equipment, tissue specimens
  
• autoclave room sink had loose linoleum around top and sides
  
• specimens prepared by assistant without gloves
  
• surgeon did not perform total scrub between patients
  
• date anesthetic vials opened not noted
  
• no full-time nurses for operating room and recovery room
  
• incomplete and/or illegible medical records; records show patients administered Sublimaze but did not document orders
  
• 5 of 5 records reviewed by the inspectors had been signed by RN, not MD, for medications
  

Next, we see if things got any better after Banchongmanie was slapped with two inspections in one year.

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