| 6400.166(a)(15) | Individual #1 is prescribed Insta-Glucose Gel 1.09 oz with directions to give 24G by mouth if blood sugar is greater than 70. May repeat in 10 minutes if unsuccessful. If not responding after 2nd treatment call 911.
On 5/8/24, the May 2024 MAR states to give 24G by mouth if blood sugar is less than 70. May repeat in 10 minutes if unsuccessful. If not responding after 2nd treatment call 911. | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Special precautions, if applicable. | Individual #1 Prescribed Insta-Gluccose Gel 1.09oz the directions on the label for the medication have been corrected. Facility staff took the medication directly to the pharmacy the day that the error was detected on 5/7/2024 and the pharmacist removed the incorrect label and applied a new label with the correct instructions. The label now reads "give 24G by mouth if blood sugar <70 (less than 70) may repeat in 10 minutes if unsuccessful. If not responding after 2nd treatment call 911. |
06/07/2024
| Implemented |
| 6400.207(5)(III) | On 5/08/2024 at 12:10 PM, Individual #1 had dual side bed rails that restricts the movement or function of their body.
On 5/08/2024 at 12:15 PM, Individual #2 had dual side bed rails that restricts the movement or function of their body.
On 5/08/2024 at 12:35 PM, Individual #3 had dual side bed rails that restricts the movement or function of their body. | A mechanical restraint, defined as a device that restricts the movement or function of an individual or portion of an individual's body. A mechanical restraint includes a geriatric chair, a bedrail that restricts the movement or function of the individual, handcuffs, anklets, wristlets, camisole, helmet with fasteners, muffs and mitts with fasteners, restraint vest, waist strap, head strap, restraint board, restraining sheet, chest restraint and other similar devices. A mechanical restraint does not include the use of a seat belt during movement or transportation. A mechanical restraint does not include a device prescribed by a health care practitioner for the following use or event: Protection from injury during a seizure or other medical condition, if the individual can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual, and if the individual plan includes periodic relief of the device to allow freedom of movement. | Individual #1 does have a current written order for dual side bedrails, dated 2012. Individual #1's prescribing physician was contacted and provided an updated written order with the individual's diagnosis for the order on 5/10/2024. On 5/14/2024 Program Director Cathy Malec developed a procedure for the agency in the Use of Bed Rails along with an assessment attachment to be used as a tool and documentation in determination and continued use of the use of bed rails for individuals in the residential program. |
06/07/2024
| Implemented |