4167 |
BISHOP GADSDEN EPISCOPAL HEALTH CARE CENTER |
425411 |
1 BISHOP GADSDEN WAY |
CHARLESTON |
SC |
29412 |
2019-01-31 |
758 |
E |
0 |
1 |
S24T11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview, the facility failed to provide a determined timeframe for administration of a PRN (as needed) [MEDICAL CONDITION] medication and not attempting nonpharmacological interventions prior to administration of a PRN [MEDICAL CONDITION] for Resident #24 (1 of 4 sampled residents reviewed for unnecessary medications). The findings included: The facility admitted Resident #24 with [DIAGNOSES REDACTED]. Record review on 01/29/19 at approximately 2:24 PM revealed a physician's orders [REDACTED]. Further review of the medical record revealed a pharmacist consultation report dated 10/31/18 stating, per new regulations the order should have a 14-day stop date included and if still indicated, the provider will need to re-evaluate and document continued need every 2 weeks. The doctor's response, dated 11/07/18, stated not to stop yet. Review of the Medication Administration Records (MARs) for Resident #24 revealed the medication was administered on 09/30/18; 10/1, 7, 17,18, 21-23, 25-27, 30-31 (YEAR); 11/2, 5, 9-11, 14-18, 20, 23-26, 28-30 (YEAR); 12/1, 3, 5-7, 9, 11, 13, 16, 17, 19 (YEAR); and 01/6, 15, 18-20, 22, 23, 25-27 2019. No documentation of nonpharmacological interventions attempted prior to administration were found in the medical record. In an interview on 01/31/19 at approximately 1:45 PM, Licensed Practical Nurse #1 confirmed that the PRN order did not have an end date as required and also that nonpharmacological measures should have been attempted prior to administration of the PRN [MEDICAL CONDITION]. |
2020-09-01 |