cms_SC: 9765
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
9765 | LAUREL BAYE HEALTHCARE BLACKVILLE | 425319 | 1612 JONES BRIDGE ROAD | BLACKVILLE | SC | 29817 | 2010-10-13 | 332 | E | 0 | 1 | G9M911 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the survey, based on observations, record reviews, interview and the Drug Facts and Comparisons book (updated monthly), the facility failed to ensure that it was free of medication errors rates of 5% or greater. The medication error rate was 8.7%. There were 4 errors out of 46 opportunities for error. The findings included: Error #1: On 10/11/10 at 4:25 PM, during observation of medication pass. Licensed Practical Nurse (LPN) #1 was observed to administer one [MEDICATION NAME] 500 milligram (mg) tablet and 4 other medications to Resident A, followed with water. Review of the current physician's orders [REDACTED]. Resident A's meal tray arrived at 5:54 PM. Error #2: On 10/12/10 at 8:10 AM, during observation of medication pass, LPN #2 was observed to administer two puffs of [MEDICATION NAME] Aerosol Inhalation to Resident B. LPN #2 handed the [MEDICATION NAME] Inhaler to the resident without instructing the resident to wait one minute between inhalations. Resident B self administered 2 inhalations with no wait between puffs. The Drug Facts and Comparisons book (updated monthly), page 669b, states (in reference to administration technique for aerosol inhalers): "Allow greater than or equal to 1 minute between inhalations (puffs).". Error #3: On 10/12/10 at 8:40 AM, during observation of medication pass, LPN #3 was observed to administer 1 puff of [MEDICATION NAME] HFA 110 to Resident C without shaking the canister before administration. The Drug Facts and Comparisons book (updated monthly), page 672a, states (in reference to preparation for administration of [MEDICATION NAME] HFA): "Shake well before using.". Error #4: On 10/12/10 at 8:42 AM, during observation of medication pass, LPN #3 was observed to administer one drop of Omnipred Ophthalmic Suspension to the right eye of Resident C without shaking the bottle before administration. The Drug Facts and Comparisons book (updated monthly), page 1725 states (under General Considerations in Topical Ophthalmic Drug Therapy, in reference to suspensions): "Resuspend suspensions (notably many ocular steroids) by shaking to provide an accurate dose of the drug.". During an interview on 10/12/10 at 8:48 AM, LPN #3 stated that she was aware that both medications ([MEDICATION NAME] HFA 110 and Omnipred Ophthalmic Suspension) needed to be shaken. LPN #3 stated that she was so used to giving these two medications that she thought that she had shaken then. | 2014-12-01 |