Failure to Provide Ordered PRN Oxycodone for Pain
Penalty
Summary
The facility failed to provide ordered pain medication to a resident with a physician’s order for Oxycodone 7.5 mg PO every 4 hours PRN for moderate to severe pain. The resident, admitted with diagnoses including cerebral infarction and depression, had a BIMS score of 14, indicating intact cognition, and a care plan problem of altered comfort and daily activity due to pain, with an approach to administer Oxycodone as ordered. On the date in question, the Medication Administration Record showed that the resident did not receive any Oxycodone. The resident reported having to wait over 24 hours for Oxycodone because the facility had run out of the medication, stating they felt upset and frustrated and did not want to get out of bed without their pain medication. The charge nurse assigned to the resident’s unit that day stated the resident complained of moderate generalized body pain and requested Oxycodone, but the nurse did not administer it because the facility had no Oxycodone available. The nurse reported informing the resident that there was no more Oxycodone and that it had been ordered but had not yet arrived, and confirmed it did not arrive during that shift. The registered nurse supervisor stated that when residents complain of pain, pain medications should be given as ordered by the physician and that relieving pain is important because it could increase irritability and vital signs. The facility’s pain management policy required administering pain medication as ordered by the physician, but this was not followed for this resident on the identified date.
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