| 6400.163(c) | Individual #1's psychiatric medication reviews completed on 3/17/16 and 8/4/16 did not include the reason for prescribing the medications. | If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review with documentation by a licensed physician at least every 3 months that includes the reason for prescribing the medication, the need to continue the medication and the necessary dosage. | Greene Arc has ratified its Psychiatric Medication Review Form effective August 19, 2016 to more clearly identify to staff the requirement of listing the reason prescribing the psychiatric medication. The updated form has been sent via email to each residential site supervisor with instructions to begin using it immediately and to purge the unused previous version. The revised form now clearly has an identified section for listing the reason for prescribing the medication as follows:
Name of Psychiatric Medication: Dosage: Purpose of Psychiatric Medication:
1. ____________________________ ___________ ___________________________________
2. ____________________________ ___________ ____________________________________
3. ____________________________ ___________ ____________________________________
4. ___________________________ ___________ ____________________________________
5. __________________________ ____________ __________________________________
The email was sent on: 8/19/16 and read as follows:
Residential Site Supervisors,
Effective immediately please begin to use the attached updated Psychiatric Medication Review form for all upcoming psychiatric medication review appointments. Please also effective immediately purge the old blank forms so there will be no occurrences of the outdated form being used.
If you have any questions, please let me know.
Thank you
Mary
Mary Keim
Director of Residential &
Program Specialist Services
Greene Arc, Inc.
197 Dunn Station Road
Prosperity, PA 15329
Phone: 724-627-5511
Fax: 724-852-1764
Email: mkeim@greenearc.org
[Prior to entering into the individuals' records, the director or designated staff person shall review documentation from the licensed physician to ensure all required information is present. Within 30 days of receipt of the plan of correction the Director shall train all staff persons responsible for ensuring completion of psychiatric medication reviews to include all required information as to their responsibilities and what information is required. At least quarterly, the Director shall review a 25% sample of psychiatric medication review documentation to ensure all required information is present and procedures are being followed. Documentation of all reviews and trainings shall be kept. (AS 9/7/16)] |
08/19/2016
| Implemented |
| 6400.164(a) | Individual #1 is prescribed Potassium Chloride 10 MEQ ER take one capsule and Lasix 20 MG take one tablet at 8:00 AM on Monday, Wednesday and Friday; the July Medication Administration Record (MAR) was initialed by staff as being administered on Saturday, 7/2/16, and Sunday, 7/3/16 for both medications. | 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. | The Medication Administration Record (MAR) for Individual # 1 is delivered to the site from PDC Pharmacy. Upon it's arrival the Residential Site Supervisor will now be responsible for executing the process of putting the appropriate markings on the MAR for this particular medication that will clearly indicate what days the medication is to be dispensed (Monday, Wednesday and Fridays) the other days where the medication is not to be given will have a line drawn through them. Effective August 18, 2016, for the remainder of August, 2016 this has been completed on all applicable MAR forms. This same practice has been implemented at all residential sites for any medications that are not given on a daily basis.[Immediately and at least monthly the Residential Site Supervisor(s) shall review all individual's MARs to ensure medications are being logged as required. At least two additional medication administration observations shall be completed for any staff who have documented medication incorrectly. Documentation of all MAR reviews shall be kept. (AS 9/6/16)] |
08/18/2016
| Implemented |