Medication Administration Error Exceeds Acceptable Rate
Penalty
Summary
The facility failed to adhere to physician's orders during medication administration, resulting in a medication error rate of 7.69%, which exceeds the acceptable threshold of 5%. This deficiency was identified during the administration of medications to a resident (R15) by a nurse (V8). The nurse administered 10 ml of Lactulose Solution and 6 units of Novolog to the resident, despite the Medication Administration Record (MAR) indicating that the resident was supposed to receive 30 ml of Lactulose and 4 units of Novolog based on a blood sugar reading of 213 mg/dl. The Director of Nursing (V2) confirmed that medications must be administered according to physician orders, following the facility's policy and the 5 rights of medication administration, which include the right dose.