Improper Medication Preparation and Administration by LPN
Penalty
Summary
Licensed Practical Nurse (LPN) #134 was observed preparing and handling medications for four residents in a manner that did not follow professional standards or facility policy. The LPN prepared multiple residents' medications at the same time, placing three cups of unidentified pills on top of the medication cart and handling loose pills with bare hands before crushing them and mixing them with pudding. The LPN then administered these medications to residents in common areas and dining rooms, rather than preparing and administering each resident's medication individually as required by facility policy. During an interview, the LPN confirmed preparing and administering medications for multiple residents at once, acknowledging that this practice was incorrect but stating it saved time. Facility policy, revised January 2018, specifies that medications should be administered one resident at a time.