| 6400.144 | Individual #1 did not have BM's on 5/2/22, 5/3/22, 5/4/22, 5/5/22 and 5/19/22, 5/20/22, and 5/21/22. Individual is prescribed Milk of Magnesia "daily as needed for constipation". Staff are operating under the protocol that if there is no bowel movement, then Milk of Magnesia is given on the 3rd day. Individual #1 was not given this PRN medication on the 3rd day which she did not have a bowel movement. | Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided.
| Medication error reports were filed for both omissions. The EIM report numbers were 9037390 and 9037398. PCP was contacted to clearly define constipation guidelines which were in line with the established protocol . The med label was updated as well as QuickMar. A copy of updated med label and MAR is attached. (20 and 21) A record review was completed by IFC nursing staff of all individuals who receive a PRN medication for constipation. Several others did not have specific days of administration clarified by doctor and instead a broad order for constipation. Clarification was sought for each individual to update record and QuickMAR systems. All orders have been received with updated MARs and Health Protocols. A copy of another individual updated during audit is attached (4). |
06/10/2022
| Implemented |
| 6400.166(a)(11) | Individual #1 is prescribed High Protein Liquid. There is no reason or diagnosis for this medication on May 2022 MAR. | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata. | This omission has been corrected in QuickMar and is showing in current MAR. A copy of the MAR is attached (21). |
06/10/2022
| Implemented |