Observations
Based on a review of patient records and an interview with the facility director, the facility failed to ensure that the patient was initially dosed following the completion of a drug-screen urinalysis in one of one patient record.
The findings included:
One patient record was reviewed on July 14, 2011. One patient record was reviewed for drug screen urinalysis results prior to a patient's initial dose. Per regulation, a narcotic treatment program shall complete an initial drug-screening urinalysis for each prospective patient and a random urinalysis at least monthly thereafter. The facility failed to document the completion of a drug screen urinalysis prior to dosing in patient record # 1.
Patient # 1 was admitted into treatment on March 2, 2011. Patient # 1 received a dose of 30 mg on March 3, 2011, the same date that the patient had submitted a urine specimen for a drug-screen urinalysis. Documentation of the results of the urine specimen for the drug-screen urinalysis was received by the facility on March 9, 2011.
The facility director was interviewed on July 14, 2011 at approximately 12:15 PM and confirmed that the documentation indicated the patient had been dosed before the results of the urinalysis had been received.
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Plan of Correction
Discovery House Associates will obtain initial drug screen urinalysis results before administering initial dose of methadone.
To comply with this regulation, dispensing nurses are charged to review patient chart for initial drug screen result before administering initial dose of methadone. Medical Director is responsible to ensure compliance to this regulation and Program Director will oversee. |