| 6400.144 | Individual #1 had symptoms of a cough starting on 01/10/24, and received PRN medications of Ibuprofen on 1/13, 1/14, 1/15, 1/16, and 1/17, and Sudogest (Pseudoephedrine) on 01/12, 01/13, 01/14, 01/15, and 01/17, but was not reported to nursing as per company policy, resulted in individual being admitted to hospital, where individual subsequently ceased to breathe on 02/05/24. | 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.
| Current policy requires the Agency Nurse to be contacted when an individual requires the use of a PRN medication for symptoms of illness. The site manager, who was aware of and neglected to report symptoms and use of PRN medications to the agency nurse on multiple consecutive days, was terminated.
All medical policies, procedures, and training materials are currently under review and revision by agency nurses, a newly appointed Medical Director, and a newly appointed Clinical Director. Draft policy revisions include the use of Station MD as an additional medical resource and will make clear the responsibility of all staff providing care to notify the nurse and/or Station MD to initiate medical assessment and treatment when needed, and to also use Agency Incident Reports to report health issues of concern. All policies will be finalized, and all residential service employees of Arc Human Services will be trained on revised policies by 5/31/24. |
05/31/2024
| Implemented |