Failure to Implement Non-Pharmacological Pain Management Prior to PRN Narcotic Administration
Penalty
Summary
The facility failed to develop and implement individualized pain management programs consistent with professional standards of practice for a resident with a history of a left fibula fracture and muscle weakness. Despite facility policy requiring non-pharmacological interventions to be attempted prior to administering as-needed (PRN) narcotic pain medication, staff repeatedly administered Oxycodone without first attempting or documenting any non-pharmacological pain relief methods. This was evidenced by a review of the resident's Medication Administration Records (MAR) over several months, which showed multiple instances where Oxycodone was given without prior non-pharmacological interventions. Interviews and record reviews confirmed that the facility could not provide documentation supporting the use of non-pharmacological interventions before administering PRN pain medication, as required by their policy. The deficiency was identified for one resident out of fourteen reviewed, and the failure was in direct violation of both facility policy and state regulations regarding pain management and resident care.