| 6400.144 | Individual #1 had a rash beginning in March of 2015. Nursing Staff #1 felt Individual #1 needed a dermatology appointment and thought it had been scheduled. Staff #1 went on leave from April to July of 2015. Upon return, Staff #1 realized this appointment did not occur. Staff #1 scheduled an appointment for 7/21/15. At this appointment, Individual #1 was diagnosed with Scabies. | 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.
| All medical appointments for Individual #1 were scheduled and kept based on recommendations from the PCP. The following is a timeline of appointments, treatments, and recommendations for Individual #1. On April 4, 2015 Individual #1 was seen by the PCP, diagnosed with Seborrhea, treatment recommended (Nizoral cream), and the PCP indicated that a Dermatology appointment scheduled for 5/4/15 was not needed and was cancelled. On April 30, 2015 Individual #1 had a follow up appointment with the PCP and at that time treatment was continued (Nizoral cream). On June 22, 2015 Individual #1 was seen by the PCP for an annual physical. At this visit the PCP recommended and scheduled a Dermatology consult to take place 7/21/15. At the July 21, 2015 consult Individual #1 was diagnosed with Scabies, treatment was recommended (Permethrin cream), and a follow up appointment was scheduled for 8/18/15.
In addition, staff will be retrained on appropriate documentation and reporting of a medical concern. The training will be conducted by the Program Specialist and wil focus on utilization of the Change of Health/Accident Report and weekly monitoring of medical concerns. Training will be completed by 8/28/15.
Nursing staff will be retrained in appropriate documentation of medical concerns. The training will be completed by the Manager of Health Services. The focus of the retraining will be on the documentation and monitoring of medical concerns as well as Nursing staff review of Change of Health/Accident forms and assessment, documentation, and monitoring of medical concerns.This training will be completed by 8/20/15.
(The home supervisor is responsible to report any medical concerns/appointments to the program specialist immediately. The program specailist is responsible to report those concerns/appointments to the nursing staff within 1 hour of being notified. The nursing staff will ensure that all medical concerns and appointments are followed up with in a timely manner. Documentation of the notification to all relevenat staff members will kept. AH 9.18.15) |
08/28/2015
| Implemented |