Inaccurate Controlled Drug Record for Lorazepam
Penalty
Summary
The facility failed to ensure the accuracy of the controlled drug record for Lorazepam, a medication prescribed to treat anxiety and classified as a controlled substance due to its potential for abuse and dependence. During a review of the controlled drug record for a resident, it was documented that there should be 22.0 mL of liquid Lorazepam remaining. However, upon direct observation of the medication bottle in the medication room refrigerator, only 21 mL was present. This discrepancy was confirmed by a licensed nurse, who acknowledged that the count sheet was incorrect and did not match the actual amount in the bottle. The facility's policy required nurses to verify and sign off on the correct count after each supply check, but this procedure was not followed, resulting in an inaccurate controlled drug record.