Failure to Provide Proper Respiratory Care and Oxygen Administration
Penalty
Summary
The facility failed to provide appropriate respiratory care and services for a resident with diagnoses including Chronic Obstructive Pulmonary Disease (COPD) and pulmonary hypertension due to lung disease and hypoxia. According to the physician's order, the resident was to receive continuous oxygen at 3 liters per minute via nasal cannula. During an interview, the resident reported that the humidifier chamber of the oxygen concentrator was not filled with water, and this was confirmed by direct observation. Additionally, the oxygen tubing in use was not dated. These findings were verified with the unit manager, a registered nurse. The deficiency was identified through observation, clinical record review, and staff interview, and it was determined that the facility did not follow its own policy and physician's orders regarding oxygen administration for the resident.