Failure to Obtain Physician Order for Oxygen Therapy
Penalty
No penalty information released
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Summary
A resident with a history of chronic obstructive pulmonary disease with acute exacerbation, pleural effusion, acute and chronic respiratory failure with hypoxia, and anxiety disorder was observed using an oxygen concentrator with a nasal cannula in her room. Staff, including a Certified Medication Aid and the Interim Director of Nursing, confirmed that the resident was receiving oxygen therapy. However, a review of the resident's electronic health record revealed there was no physician order for the use of oxygen. The Interim Director of Nursing acknowledged that the resident should have had an order for oxygen use, but none was present at the time of the survey.