Failure to Check Gastric Residual Prior to G-Tube Medication Administration
Penalty
Summary
A deficiency was identified when a resident with a history of dysphagia, gastroparesis, and gastrostomy status did not have their gastric residual volume checked prior to the administration of medication via a gastrostomy tube (G-tube). The resident had a physician's order specifying that residuals should be checked before administering water, medications, or formula through the G-tube. Despite this order, an LPN administered levetiracetam solution through the G-tube without performing the required residual check. The LPN confirmed that the residual was not checked prior to medication administration, and the Director of Nursing also acknowledged that residuals should be checked before administering anything through a G-tube, in accordance with facility policy. The facility's policy on enteral feedings and safety precautions also documented the requirement to check tube placement and gastric residual volume prior to medication administration. This lapse was observed and confirmed through interviews and record reviews.