Lack of Physician Order and Care Plan for Resident Sling Use
Penalty
Summary
Surveyors found that the facility failed to obtain a physician order for the use of a right arm sling for a resident with limited mobility. The resident was admitted with diagnoses including a displaced fracture of the surgical neck of the right humerus, a closed fracture, and a fracture of the lower end of the left radius. On two separate observations, the resident was seen wearing a right arm sling. During an interview, an LPN confirmed that there was no physician order for the sling, and review of the clinical record showed no physician order or care plan addressing the resident’s sling use. The Nursing Home Administrator acknowledged that the facility failed to ensure a resident with limited mobility had a physician order for the sling, in violation of applicable Pennsylvania regulatory requirements for licensee responsibility, resident care policies, and nursing services.
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