Observations
The facility failed to obtain informed, voluntary, written consent before an agent was administered to the patient for detoxification treatment in one of four patient records.
Patient #1 was admitted on November 10, 2020. The patient ' s initial dose of Subutex was given on November 11, 2020. There was no documentation that the facility obtained an informed, voluntary, written consent from the patient before the agent was administered to the patient for detoxification treatment.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
The nursing staff and/or provider will obtain an informed, voluntary, written consent from the patient at admission. Prior to the first dose being administered to the patient, the nurse will double check that the consent has been signed and placed in the client chart.
All nurses and providers will be re-trained by 1/1/2021 on the completion of the consent.
Auditing of this consent will take place on a monthly basis for the next 90 days. |