Failure to Follow Professional Standards for Medication Orders and Administration
Penalty
Summary
The facility failed to ensure professional standards of nursing practice were followed for three residents reviewed for quality of care. For one resident with a history of digestive system surgery and hip dislocation, an LPN administered Optase eye drops without a corresponding physician order documented in the medical record. The LPN confirmed that there were no orders for the medication, despite its administration. Another resident with sepsis and vascular dementia had a physician order for Invanz IV antibiotic that did not specify the required flow rate for administration. The DON confirmed that the flow rate should have been included in the order. A third resident, admitted after surgical amputation and with acute osteomyelitis, received IV medications including Daptomycin and Meropenem, but the orders lacked documentation of the flow rate and there was no order for the sodium chloride flush used. The DON acknowledged that both the IV flush and flow rate should have been documented in the medical record.