Failure to Discontinue Unnecessary PRN Psychotropic Medication
Penalty
No penalty information released
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Summary
The facility failed to discontinue a PRN (as needed) psychotropic medication, Alprazolam 0.5 mg, for one resident as required by facility policy and procedures. The resident had an active physician order for Alprazolam to be administered twice daily as needed for generalized anxiety, with the last documented administration occurring over a month prior to the survey. Despite the lack of recent use, the medication order remained active in the resident's medical record. The Director of Nursing confirmed that the PRN order for Alprazolam was still present and acknowledged it should have been discontinued in accordance with facility protocols to prevent unnecessary medication use.