Failure to Review PRN Psychotropic Medication Orders Within Required Timeframe
Penalty
Summary
The facility failed to ensure that a resident was free from unnecessary psychotropic medications. A resident admitted for surgical aftercare with diagnoses including spinal abscess and lower body paralysis had a PRN order for Prochlorperazine, a medication used to treat nausea and vomiting. Facility records showed that a letter was sent to the prescriber advising that the PRN Prochlorperazine required a direct examination and rationale every 14 days. However, there was no evidence in the resident's medical record that the physician reviewed, assessed, or evaluated the resident within the required 14-day period for the PRN antipsychotic. The LPN Resident Care Manager confirmed that the PRN order continued beyond 14 days without the necessary review and evaluation.