Observations
Based on a review of the medication policies and procedures and medication administration records, the facility failed to document complete medication records.
Finding:
The medication records were blank on numerous days in June 2008 and July 2008. Documentation was missing to indicate whether or not a client received his/her medication, refused his/her medication or whether the medication was discontinued.
|
Plan of Correction
1. The Program Director will hire, assign, and train a newly hired part time employee to complete a medication audit every other week which would include looking for errors and incomplete documentation. This would be her sole job every other week. (Hired 8/14/08 and med training started 8/28/08)
2. The Program Director will continue to complete a staff-wide training on medications and documentation each year. (11/08)
3. The Program Director and the Associate Executive Director will enforce stiffer penalties for medication errors based on biweekly reports generated from the newly trained and hired employee cross-checking the medication logs, etc. Penalties would include Write-Ups for every few mistakes and eventually recommendation for termination if consistent errors occurs for a particular staff person even after several warnings and memos. (Ongoing) |