Incomplete Non-Narcotic Medication Destruction Logs
Penalty
Summary
The facility failed to maintain complete records for the destruction of non-narcotic medications in the Station 1 Medication Room. During an observation, it was found that the non-narcotic medication destruction logs, kept in a three-ring binder, did not contain signatures from licensed staff or witnesses, nor did they indicate who was responsible for completing the medication destruction. A review of the Facility Medication Destruction Form records from early March to late June revealed that none of the available records had the required signatures or dates, making it impossible to determine which nurses completed the disposition of medications. An interview with the DON confirmed that the destruction logs for non-narcotic medications were incomplete, as the nurses responsible for performing the disposition on the overnight shift failed to sign off on any of the available logs after completing the destructions. The facility's policy, revised in July 2022, requires that a non-controlled medication disposition log be used for documentation, including the date of disposition and signatures of the required witnesses, but these requirements were not met.