cms_WV: 8517
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
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8517 | ST. JOSEPH'S HOSPITAL, D/P | 515051 | AMALIA DRIVE #1 | BUCKHANNON | WV | 26201 | 2013-01-10 | 502 | D | 0 | 1 | IYJG11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, staff interview, policy review, and physician interview, the facility failed to obtain timely laboratory (lab) services to monitor medication levels, as ordered by the attending physician. This was found for one (1) of ten (10) residents reviewed for unnecessary medication. A potassium level for this resident was not obtained as ordered. Resident identifier: #9. Facility census: 13. Findings include: a) Resident #9 At 2:00 p.m. on 01/09/13, this resident's medical record was reviewed. The review revealed the resident was prescribed the medication potassium, due to use of diuretics for the [DIAGNOSES REDACTED]. On 05/12/12, a serum potassium level was drawn on this resident. The lab report indicated the resident s potassium level was 3.1 (normal range 3.5 to 5.1). Further record review revealed the resident had a serum potassium level drawn on 07/05/12, with a potassium level of 3.4 (normal range 3.5 to 5.1). A pharmacy recommendation form, dated 07/12/12, was reviewed. The pharmacist had recommended a potassium level be done in October 2012. This recommendation was signed by the attending physician. According to facility policy, once a recommendation was signed by the physician, it was a physician's orders [REDACTED].>On 01/09/13 at 3:00 p.m., an interview was conducted with Employee #4, a licensed practical nurse (LPN), regarding the pharmacy recommendation dated 07/12/12. During the interview, a copy of the October 2012 potassium level was requested, as it was not found in the resident's medical record. Upon further inquiry, Employee #4 stated, There was not a laboratory level done in October. When Employee #4 was questioned regarding whether a physician's orders [REDACTED]. Employee #4 verified a potassium level was not obtained in October 2012. She agreed the physician's orders [REDACTED]. An interview was conducted with the attending physician on 01/10/13 at 8:30 a.m. He confirmed he agreed with the pharmacist's recommendation to get a potassium level in October 2012, when he signed the pharmacy recommendation dated 07/12/12. The attending physician also verified his signature of agreement on a pharmacy recommendation form was an order to be carried out by nursing staff. The attending physician confirmed the lab test should have been done in October 2012, as ordered. Upon further inquiry regarding the ordered lab level for October 2012, the attending physician stated, No it was not done as ordered, it got missed and no one caught the mistake. | 2016-05-01 |