Failure to Obtain Physician Orders for Oxygen Therapy
Penalty
No penalty information released
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Summary
A deficiency occurred when the facility failed to ensure that physician orders for oxygen therapy were obtained for a resident with end stage chronic obstructive pulmonary disease (COPD). Record review showed that the resident was found resting in bed with oxygen administered at 4 liters per minute via nasal cannula, and their oxygen saturation was 88%. The only documented physician order for oxygen had been discontinued several months prior, with no current orders in place for oxygen therapy. The Director of Nursing confirmed that there were no active orders for oxygen, despite the resident consistently requiring oxygen due to their medical condition.