Observations
Nine patient records were reviewed December 19, 2011. All records required documention that indicated the admitted patients were 18 years of age and older.
The findings include:
Patient # 5 was admitted January 2, 2011. Documentation reviewed in the record identified that the patient was 17 years of age at the time of admission. A urine drug screen was completed January 5, 2011. The patient was administered Subutex, a narcotic agent used in the treatment of opiate addiction, on January 5, 2011.
Patient # 6 was admitted November 21, 2011. Documentation reviewed in the record identified that the patient was 16 years of age at the time of admission. A urine drug screen was completed November 22, 2011. The patient was administered Subutex, a narcotic agent used in the treatment of opiate addiction, on November 22, 2011.
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Plan of Correction
All adolescents requiring buprenorphine for opioid withdrawal will have a buprenorphine exception completed and faxed to State. Until receiving acknowledgement by the State, the adolescent will be managed with comfort medications for management of withdrawal.
To ensure compliance this is being audited as part of the monthly medical quality audits.
The Director of Nursing is responsible for implementation and the audit process. |