Failure to Notify Physician and Document Late Medication Administration
Penalty
Summary
A deficiency occurred when a registered nurse administered medications, including Doxycycline, Eliquis, and Amlodipine, to a resident nearly two hours after the scheduled 9:00 AM administration time. The facility's policy requires that the physician be notified of late administration of certain medications, such as antibiotics like Doxycycline, and that a note be documented explaining the delay. However, there was no documentation in the nursing progress notes regarding physician notification or an explanation for the late administration. Interviews with nursing staff and the Director of Nursing confirmed that the required notifications and documentation were not completed for this incident. The resident's medication administration record reflected the late administration, but no further action was documented as required by facility policy.