Improper Storage and Documentation of Discontinued Medications
Penalty
Summary
Surveyors observed that drugs and biologicals in one of two medication rooms were not properly stored, disposed of, or documented according to facility policy and accepted professional standards. Discontinued medications were found in an unsecured, three-tier plastic storage container on the floor of the medication room. A licensed nurse confirmed that these medications were not secure and acknowledged the ease with which someone could steal them. The nurse also indicated a lack of knowledge regarding the frequency of medication destruction and stated that the facility needed a better process for handling discontinued medications. A review of the facility's Non-Controlled Substance Destruction Log revealed that it did not include required information such as the signatures of two licensed nurses, the reasons for destruction, or the dates the medications were destroyed, as specified in the facility's policy. The Director of Nursing confirmed these omissions during an interview and record review. These actions and inactions resulted in discontinued medications being improperly stored and inadequately documented, contrary to facility policy and regulatory requirements.