Failure to Follow Professional Standards in Medication Administration and Order Transcription
Penalty
Summary
Facility staff failed to follow professional standards of practice during insulin administration for a resident. Observation showed a nurse preparing an insulin pen for a resident without priming the pen as required by facility policy. When questioned, the nurse stated she never primes insulin pens. An administrative nurse confirmed that staff are expected to prime insulin pens before administering the prescribed dose. Additionally, the facility did not provide care in accordance with professional standards for two residents. For one resident, provider orders regarding the use of a continuous glucose monitoring system were not transcribed into the electronic health record, including the medication administration record and care plan. For another resident with an anxiety disorder, a nurse administered lorazepam without an active physician order, as the previous order had expired. An administrative nurse confirmed the medication was given without a current order.