Failure to Label Tube Feeding Formula Bottle
Penalty
Summary
A deficiency occurred when a nurse failed to label a newly hung tube feeding formula bottle for a resident who was dependent on enteral nutrition due to diagnoses including failure to thrive, dysphagia, and gastrostomy status. The resident was cognitively intact and required staff assistance for most activities of daily living, receiving all nutrition and hydration through a feeding tube. According to the care plan and physician orders, tube feedings were to be administered per specific instructions, including documentation and labeling requirements. On observation, the tube feeding formula bottle in the resident's room was found without a label indicating the resident's name, date, time, or flow rate. Interviews with the ADON, DON, and the nurse responsible confirmed that facility policy required labeling of tube feeding bottles with this information when hung. The nurse acknowledged the omission but could not provide a reason for failing to label the bottle as required.