| 6400.168(a) | Staff #1 only completed 3 medication administration reviews for her 2014 annual medication training. Staff #1 did not retake the medication administration course but continued to complete annual medication practicums even though she did not complete the 2014 training in it's entirety. | In a home serving eight or fewer individuals, a staff person who has completed and passed the Department's Medications Administration Course is permitted to administer oral, topical and eye and ear drop prescription medications. | A Med Admin Trainer completed training with Staff #1 on 10.27.15 as seen in attachment B1. Other staff were also found to have this issue and completed training as of 11.3.15 as seen in training records which are attachment B2. Med Trainers reviewed all MARS on a daily basis for all untrained staff until training completion as seen in attachment B3. To correct this issue in the future, the medical team will reveiw 25% of each trainer's staff each quarter to ensure MARS are being done correctly and documentation is in place. Also the Med Trainers have established a relationship with the ODP Med Training consultant so they can ask questions or get feedback on processes at any time. |
11/03/2015
| Implemented |
| 6400.168(d) | Staff #1 continued to administer medications throughout the year even though she did not complete her 2014 medication administration training in it's entirety. | A staff person who administers prescription medications and insulin injections to an individual shall complete and pass the Medications Administration Course Practicum annually. | A Med Admin Trainer completed training with Staff #1 on 10.27.15 as seen in attachment B1. Other staff were also found to have this issue and completed training as of 11.3.15 as seen in training records which are attachment B2. Med Trainers reviewed all MARS on a daily basis for all untrained staff until training completion as seen in attachment B3. To correct this issue in the future, the medical team will reveiw 25% of each trainer's staff each quarter to ensure MARS are being done correctly and documentation is in place. Also the Med Trainers have established a relationship with the ODP Med Training consultant so they can ask questions or get feedback on processes at any time. |
11/03/2015
| Implemented |