| 25 |
WASHINGTON CTR FOR AGING SVCS |
95014 |
2601 18TH STREET NE |
WASHINGTON |
DC |
20018 |
2017-09-01 |
176 |
D |
0 |
1 |
BJXC11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review, resident and staff interviews for one (1) of 40 sampled residents, the interdisciplinary team failed to assess one (1) resident's ability to self-administer medications in a safe manner. Resident #78. The findings include: On (MONTH) 28, (YEAR) at approximately 10:21 AM Resident #78 was observed opening a dresser drawer in the resident's room and removing the following over-the-counter medications: [REDACTED] a. Two (2) bottles of Anebesol b. One (1) bottle of [MEDICATION NAME] Ultra lubricating eye drop (0.33oz 1 bottle), c. Rolaid 96 chewable tablets, d. Vitron C 60 coated tablets, e. One (1) bottle of Diabetic [MEDICATION NAME] 40 ounces f. One (1) container of Aspercreme g. One (1) Vicks Menthol Inhaler for nasal congestion h. Calcium 600mg plus Vitamin D3800 International Units (100 coated tablets), i. One (1) tube of A and D ointment j. One (1) container of Diaderm rejuvenating foot cream (4oz. 1 container) During a resident interview on (MONTH) 28, (YEAR), at approximately 10:21 AM, Resident #78 was queried about self-administering medications. Resident #78 responded, Yes I have my own medications that I forgot to take this morning Resident #78 then self-administered the medications Vitron C, Calcium plus vitamin D and [MEDICATION NAME] eye drops. The resident further stated, When I call for medications that are going to help me. They do not have it or they take a long time to get it. Therefore, I buy what I need and take them. In response to how do get he over-the-counter medications, Resident #78 stated, When I go to Kaiser with my children I pick up what I need and they pay for it. According to the (MONTH) (YEAR) physician's orders [REDACTED]. (patient) has in her room, willing to take it by herself. Can keep in room with pt. A review of the (MONTH) (YEAR) Medication Administration Records (MAR) showed the physician order [REDACTED]. The clinical record lacked documented evidence the other over-the-counter medications were found documented for self-administration use or staff administration on the MAR. A review of care plan dated (MONTH) 21, (YEAR), showed Problem that read, Resident may keep Vitron C in her room for self-administration. The other over-the-counter medications found at bedside were not included in the care plan for Resident #. During a face-to-face interview with Employee # 17 on (MONTH) 28, (YEAR), at approximately 12:00 PM, Resident #78's self-medicating with several over-the-counter medications that were located in Resident #78's dresser drawer was discussed. Employee #17 stated, (resident name) self-administers own medication. We supervise (resident name) take the medication, (Resident name) will call when ready to take the medication. After reading the list of medications that the resident removed from the dresser drawer in the bedroom, Employee #17 acknowledged the findings. Also, the family was contacted and a meeting was scheduled for the next day. There clinical record lacked documented evidence the Interdisciplinary Care Team (IDT) determined that it was safe for Resident #78 to self-administer medications. Also, during the self-medication observation on (MONTH) 28, (YEAR) at approximately 10:22 AM, failed to demonstrate that the facility staff provided direct supervision of Resident #78 during self-administered of medications. |
2020-09-01 |