Failure to Limit PRN Psychotropic Medication Orders to 14 Days
Penalty
No penalty information released
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Summary
The facility failed to ensure that as needed (PRN) orders for psychotropic medications were limited to 14 days, as required by policy, for one resident. Record review showed that a resident had an active PRN order for Lorazepam 0.5 mg to be given every 4 hours as needed for increased anxiety, starting from 5/9/25, with no stop date indicated. The medication administration record confirmed that the resident received doses of Lorazepam beyond the 14-day limit without a documented stop date or physician extension. The Director of Nursing confirmed these findings during an interview. Facility policy requires PRN psychotropic medication orders, excluding antipsychotics, to be limited to 14 days unless extended by the prescribing practitioner.