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Based on clinical record review, policy review and interview it was determined the facility staff failed to provide discharge instruction concerning the administration of insulin to a patient/ representative for 1 (#2) of 10 sampled patients.

Findings include:

Patient #2 was discharged on 2/28/13 with a prescription for Insulin to use according to a sliding scale.

Review of nursing documentation from time of admission on 2/19/13 to discharge on 2/28/13 did not reveal any evidence the patient or responsible representative received appropriate discharge education relating to the self administration of insulin.

An interview was conducted with staff nurse #2 on 4/16/13 at 11:25 a.m. The nurse was questioned concerning who is responsible for insulin injection education. The nurse responded the patient's nurse is the one responsible for the injection education.

A review of the facility's policy, "Discharge Plan" policy #PC 402.917, revised 1/12, page 5, section (3) Nursing revealed nursing is to provide educational material to the patient and family members.