Failure to Provide Continuous Oxygen Therapy as Ordered
Penalty
Summary
Facility staff failed to ensure that a resident received continuous oxygen therapy as ordered by the physician. The resident, who had diagnoses including cerebral palsy, chronic pulmonary edema, and bronchopneumonia, was admitted with a physician's order for oxygen at two liters per minute via nasal cannula to be administered continuously. The resident's care plan also specified the need for continuous oxygen therapy and outlined interventions to maintain the prescribed oxygen setting. During an observation in the activities room, the resident was found sitting without oxygen in place and no oxygen administration supplies nearby. The resident was unsure why the oxygen was not being used. A Licensed Vocational Nurse confirmed that the resident was not receiving oxygen at that time, despite being aware of the physician's order. The Director of Nursing also confirmed that the resident should have been receiving continuous oxygen according to the order and facility policy.