Failure to Administer Tube Feeding per Physician Orders
Penalty
Summary
A deficiency was identified when a resident with a gastrostomy tube and severe cognitive impairment did not receive tube feeding according to the physician's prescribed schedule and flow rate. Observations revealed that the resident's liquid tube feeding was not infusing at one point, and at another time, it was infusing at the ordered rate of 60 cc/hr. The resident's care plan and physician's orders specified that the tube feeding should be administered at 60 cc/hr for 18 hours, with feeding turned off at 8:00 a.m. and resumed at 2:00 p.m. However, documentation on the Medication Administration Record showed inconsistencies with the timing and administration of the feeding, indicating it was checked off as done at 5:30 p.m., which did not align with the prescribed schedule.