Failure to Follow Physician Orders for Oxygen Administration
Penalty
No penalty information released
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Summary
A deficiency occurred when a resident with diagnoses of Chronic Obstructive Pulmonary Disease (COPD) and Acute Respiratory Failure was not provided respiratory care in accordance with physician orders. The resident had a documented order for oxygen administration at 2 liters per minute via nasal cannula to maintain a pulse oximetry reading above 92%. However, during an observation, the resident was found to be receiving oxygen at 5 liters per minute via nasal cannula, which was not consistent with the physician's order. This discrepancy was confirmed by a licensed nurse at the time of the observation. The facility's policy requires nurses to follow physician orders when administering oxygen, but this was not adhered to in this instance.