715.9(a)(2) LICENSURE Intake
(a) Prior to administration of an agent, a narcotic treatment program shall screen each individual to determine eligibility for admission. The narcotic treatment program shall:
(2) Verify the individual 's identity, including name, address, date of birth, emergency contact and other identifying data.
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Observations
Based on the review of patient records, the facility failed to verify the individual has reached 18 years of age, the individual 's identity, including name, address, date of birth, emergency contact and other identifying data in one of four patient records.
The findings include:
Four patient records were reviewed December 15, 2014. Prior to administration of an agent, a narcotic treatment program shall screen each individual to determine eligibility for admission. Four patient records were reviewed for documentation of verification of the individual 's age, identity, including name, address, date of birth, emergency contact and other identifying data. One patient record did not include the documentation.
Patient #4 was admitted on September 18, 2014 and was discharged on September 22, 2014 . The initial dose of Subutex was given to the patient on September 19, 2014 . The facility failed to document verification of the individual's identity prior to administration of Subutex.
These findings were reviewed with facility staff during the monitoring process.
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Plan of Correction
Prior to administration of an agent, Cove forge staff will screen each client to determine eligibility for admission. Staff will verify the client's identity including name, address, date of birth, emergency contact and other identifying data.
Responsible Staff:
During the admission process, the admissions staff will communicate the need for client's to bring identifying information with them. This will be communicated to both the client and referral sources.
Intake staff will be responsible for making a copy of the identifying information and placing it in the back of the chart.
Intake staff will document if a client does not have the requested identity verification with them. Intake staff will document that they verbally verified this information with the client.
The admissions coordinator will be responsible for educating the admissions staff by 12-31-14.
The Director of Nursing will be responsible for educating the intake and nursing staff by 12-31-14.
Jointly the Director of Nursing and the Admissions Coordinator will be responsible for auditing 10 opiate dependent charts monthly for 6 months to ensure compliance.
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