| 6400.166(b) | On 6/28/19 at 11:00AM, Amantine 100mg, Clonodine 0.1mg, DOK 100mg, Fish Oil 1000mg, Lamotrigine 200mg, Sertraline 100mg, Vitamin C 500mg, and Vyvanse 60mg prescribed for Individual #1 to be administered at 8:00AM were not initialed as administered on Individual #1's June 2019 Medication Administration Record. | The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered. | It is important for QLS to ensure the health, safety and wellbeing of all its individuals as well as keep proper documentation of those supports are being kept. QLS Staff failed to finalize the medication administration process as they never documented the administration of the medications that they administered at 8a on June 28, 2019.
This error occurred as the employee failed to follow the proper medication administration checks when dispensing the medications.We met with the employee as soon as we became aware of the issue and had her initial the MAR. We also performed an in-class practicum with her to ensure that she was knowledgeable of the proper medication administration checks to be followed when dispensing medications as well as a coaching was completed for her failure to perform her checks.Monthly random house checks are performed by the Field Manager and the Field Manager is going to ensure that the Medication Administration Record is completed for each dose of medication that has just been completed. Any employee that fails to properly administer medications will have to conduct a mock Medication Administration to ensure they are knowledgeable of the proper checks to be followed for a successful administration. [At least monthly a designated staff person certified to administer medications shall audit all individuals' physician orders, medications and medication administration records to ensure all individuals are administered medications as prescribed and medications are documented as required. Documentation of all medication audits shall be kept. Retraining of medication administration shall be conducted as needed. Documentation shall be kept. (DPOC by AES,HSLS on 7/12/19)] |
06/28/2019
| Implemented |