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True or False:
The facility attributed medication errors to new staff.
The last two reports from 10/27/17 – 10/28/17 involved residents #1-2 who had three medications issues during that period due to staff error. Resident #1 was given the wrong dosage of nasal spray on 10/27/17 and 10/28/17 while resident #2 missed a dosage of Norco 5-325 mg on 10/28/17. Facility attributes medication errors to new staff.
How many medication issues were reported in the month of September, 2017?
The month of Sept 2017 there were 18 noted medication issues reported; for the month of Oct 2017 there were 11 noted medication issues reported. The noted issues involved residents missing a medication or staff error involving wrong dosage.
Errors were noted with which type of medication?
(Mark all that are correct)
The last two reports from 10/27/17 – 10/28/17 involved residents #1-2 who had three medications issues during that period due to staff error. Resident #1 was given the wrong dosage of nasal spray on 10/27/17 and 10/28/17 while resident #2 missed a dosage of Norco 5-325 mg on 10/28/17.
Match this deficiency with the proper Plan of Correction.
(Mark all that are correct)
The licensee shall assist residents with self-administered medications when needed.
This requirement is not met as evidenced by: based on the fact that the licensee failed to ensure that staff when assisting R#1-2 with their medications resulted in staff #1 getting the wrong dosage of nasal spray and R#2 missing a dose of Norco 5-325 mg.
| Deficiency Type / Section Number | DEFICIENCIES | PLAN OF CORRECTIONS (POCs) |
|---|---|---|
| Type A 11/13/2017 Section Cited CCR 87465(a)(5) | Incidental Medical and Dental Care Services 87465(a)(5). The licensee shall assist residents with self-administered medications when needed. This requirement is not met as evidenced by: based on the fact that the licensee failed to ensure that staff when assisting R#1-2 with their medications resulted in staff #1 getting the wrong dosage of nasal spray on 10/27-10/28 and R#2 missing a dose of Norco 5-325 mg on 10/28/17. A repeat violation within 12 months occurred so a $250 civil penalty applied. | Licensee agrees to ensure that med techs are assisting residents with the proper dosages of medications. Licensee agrees to immediately pull staff #1 from medication passing until the staff has been re-trained; completed more shadowing and has shown to be proficient in medication passes without errors. Licensee will send to CCL a written plan of S#1’s training plan and scheduling to show training; shadowing and successful med passes before working alone. Licensee will also provide a copy of facilities policy for MARS audit to ensure errors are being caught timely. Above items will be sent to CCL by 11/13/17. |
