Failure to Administer Prescribed Multivitamin with Minerals
Penalty
Summary
A deficiency occurred when a licensed vocational nurse failed to administer a prescribed multivitamin with minerals to a resident during medication administration. The resident's physician order required the administration of a multivitamin with minerals, but this medication was omitted during the observed medication pass. Review of the Medication Administration Record for the month showed that the multivitamin with minerals was not documented as given. The nurse later confirmed in an interview that she forgot to administer the medication. The resident involved had a history of multiple medical conditions, including hypertension, arthritis, atrial fibrillation, and a recent fall with a mild anterior wedge compression fracture. The resident required maximal assistance with activities of daily living and had moderately impaired cognition. The facility's policy required medications to be administered as prescribed, but this was not followed in this instance, resulting in the resident not receiving the ordered supplement.