Failure to Revise Care Plan for Dual Antiplatelet Therapy
Penalty
Summary
The facility failed to revise the person-centered care plan for a resident who was on dual antiplatelet therapy with aspirin and clopidogrel. The resident had a history of stroke, hemiplegia, and hemiparesis, and was receiving both medications for stroke prophylaxis as ordered by the physician. The care plan, however, included a standardized intervention to avoid the use of aspirin, which conflicted with the resident's current medication orders. The Minimum Data Set Coordinator confirmed that the care plan should have been revised to reflect the concurrent use of both antiplatelet medications, as the resident had been on this therapy since admission. This discrepancy in the care plan had the potential to cause confusion among licensed nurses regarding the appropriate administration of the resident's antiplatelet therapy. The facility's policy required care plans to be updated with new interventions as necessary, but the care plan for this resident was not revised to accurately reflect the physician's orders and the resident's current treatment regimen.