Failure to Follow Medication Administration Parameters
Penalty
No penalty information released
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Summary
Staff failed to follow physician's orders for a resident diagnosed with hypertension and heart failure. The physician had ordered Propranolol HCI to be administered twice daily, with specific parameters not to give the medication if the resident's systolic blood pressure was below 110 mm/Hg or if the heart rate was less than 55. Clinical record review showed that the medication was administered on three occasions in July and three occasions in August when the resident's systolic blood pressure was under 110 mm/Hg. The Director of Nursing confirmed that the medication was given outside of the established parameters.