Failure to Provide Ordered Oxygen Humidification
Penalty
Summary
A deficiency occurred when a resident with diagnoses of lung cancer and chronic obstructive pulmonary disease, who was under hospice care, did not receive oxygen with humidification as ordered by the physician. The resident was admitted with an order for oxygen at two liters per minute via nasal cannula, with specific instructions for the oxygen concentrator to be wiped down weekly and the water jug to be changed weekly. The clinical admission assessment confirmed the use of oxygen with humidification. Multiple observations over two days revealed the resident lying in bed with a nasal cannula, but the oxygen concentrator lacked a humidifier attachment. Certified Nursing Assistants on separate occasions confirmed the absence of the humidifier. A Licensed Practical Nurse later acknowledged the physician's order for humidification and confirmed that humidification was not in place until after it was brought to her attention. The facility also identified three additional residents who received oxygen with humidification.