Medication Administered Without Proper Physician Order
Penalty
No penalty information released
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Summary
A Licensed Vocational Nurse (LVN 3) applied diclofenac sodium 1% external gel to both knees of Resident 45 during a medication administration, despite the physician's order specifying application only to the resident's hands. This action was observed and later confirmed through interviews with LVN 3 and the Director of Nursing, who acknowledged that the medication was administered to an area not covered by the physician's order and without a proper evaluation. Review of facility policies indicated that medications must be administered only with a written order from an authorized prescriber and that unnecessary drugs include those used without adequate indications for use.