| 6500.134(a) | According to the prescription label, individual # 1 is prescribed Metropol Tortrate once daily while the same individual's medication log states dosage is to be administered twice daily a 8:00 am and 8 pm. | A medication log listing the medications prescribed, dosage, time and date that prescription medications, including insulin, were administered, and the name of the person who administered the prescription medication or insulin shall be kept for each individual who does not self-administer medication. | Regulation: 134 (a): Medication log listing the medication prescribed dosed and time that prescription medication including insulin were administered.
Why is the regulation important? This regulation is important because this is a document that tracks each medication and ensures that the individual is receiving the correct prescribed medication.
How was the regulation violated? Medication for individual #1 Metoral 25mg was written on medication log to be given twice daily. The label on bottle for Metoral 25mg indicates to be given once daily.
What Caused the Violation? Individual #1 was recently discharged from Chester Valley Rehab when a change in the Metoral medication took place. The medication change went from once daily to twice daily, Life Sharing provider did not obtain a new label for the medication bottle after discharge and therefore the label did not match the current prescribing medication or medication log.
What can be done right away to fix the violation? During time of licensing inspection individual #1 was in the care of Chester Valley Rehab Facility. Life Sharer obtained a new label for the medication bottle to indicate that Metoral 25mg is given twice a day per discharge instructions from the last hospital stay. Individual #1 has been in care of CVR Facility since licensing took place and no longer receives Metoral medication and it has been discontinued.
What can be done to prevent future violations? Life sharing specialist will check medications for each individual during monthly monitor visit to ensure that medication inventory matches medication log. Life Sharing Specialist will also assist in hospital discharges to ensure the correct medication changes have taken place.
Who will be responsible for preventing future violations? Program Specialist, Luz Fragoso. |
07/13/2017
| Implemented |