Failure to Notify Representative of Antipsychotic Dose Increase
Penalty
No penalty information released
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Summary
A resident was admitted with hallucinations and was prescribed an atypical antipsychotic medication. On review, it was found that the dose of this medication was increased by a psychiatric practitioner. However, there was no documentation in the resident's progress notes or assessments indicating that the resident's representative was notified of this medication dose increase. The facility's policy requires notification of the resident's representative when there is a change in treatment, such as an increase in medication dosage. During an interview, the Administrator confirmed that they could not find evidence that the required notification had been completed.