Use of Untrained Interpreters in the Inpatient Setting: What Does the Record Show?

Ad hoc interpreter use was relatively common among inpatients with NELP, particularly for less common languages and longer lengths of stay, and was most often provided by family members. Gaps in documented rationales for ad hoc interpreter use reveal systemic issues in language access workflows and underscore the need for improved access to professional interpretation, standardized documentation, and greater use of qualified bilingual staff to ensure equitable, policy-compliant communication for all language groups.