Medication Administration Error: Wrong Laxative Given
Penalty
No penalty information released
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Summary
A deficiency occurred when a registered nurse administered the wrong medication to a resident during the morning medication pass. Specifically, the nurse gave Senna-Plus, which contains both sennosides and docusate sodium, instead of the prescribed Senna 8.6 mg, as documented in the resident's Medication Administration Record (MAR) for constipation. The facility's policy requires medications to be administered according to prescriber orders and for staff to verify the correct medication, dosage, and resident before administration. The error was observed by a surveyor and later confirmed through record review and staff interview, with the Director of Nursing acknowledging that medications should be given as ordered.