Failure to Administer Enteral Feeding at Ordered Rate
Penalty
No penalty information released
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Summary
A deficiency occurred when a resident with a percutaneous endoscopic gastrostomy (PEG) tube was not administered enteral nutrition as ordered by the physician. The resident's medical record indicated an order for Glucerna 1.2 Cal to be infused at 50 mL/hour over 22 hours. However, during observation, the resident's feeding pump was found set at 60 mL/hour. This discrepancy was confirmed by both an LPN and the Assistant Director of Nursing, who acknowledged that the pump should have been set to the ordered rate of 50 mL/hour. The facility's policy requires nurses to confirm the administration method and volume/rate of enteral feedings, but this was not followed in this instance.