Failure to Implement Physician's Orders for Compression Stockings
Penalty
Summary
The facility failed to implement physician's orders for a resident diagnosed with dementia, hypertension, and chronic obstructive pulmonary disease. The resident, who was dependent on staff for dressing, was ordered by a physician on November 10, 2024, to have compression stockings (Tubigrips) applied to both legs for swelling. However, observations on December 10 and 11, 2024, revealed that the resident was seated in her wheelchair without the Tubigrips in place. A licensed practical nurse confirmed that the Tubigrips were supposed to be applied during morning care. The Director of Nursing also stated that the staff was to apply the Tubigrips daily as per the physician's order.
Plan Of Correction
1. Tubigrips were immediately placed on resident 2. 2. Current residents with Compression stockings were reviewed to assure residents had application per the physician orders. 3. Education will be completed for licensed nursing staff by staff educator/designee on Importance of ensuring residents have physician prescribed measures in place. 4. Audits will be completed by DON/designee to assure residents with Compression stockings have it in place per physician orders. Audits will be done weekly x4 & then monthly x2 or until compliance is met. Findings will be brought to the QAPI committee.