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HCA FLORIDA KENDALL HOSPITAL
ADMINISTRATION OF DRUGS
Tag No.: A0405
Based on record review and interview, the facility failed to administer drugs in accordance with standards of nursing practice for 1 (SP#1) of 3 sample patients (SP).
Findings include:
Review of SP#1 Physician Order documented Chlorhexidine Gluconate, 15 milliliters, Oral Rinse, Three Times a Day for 42 doses to Start: 01/25/2022 and Stop: 02/08/2022.
Review of SP#1 Medication Administration Record for Chlorhexidine Gluconate dated 01/30/2022 through 02/10/2022 documented nine (9) doses not given between 02/03/2022 through 02/06/2022.
Interview with the Risk Manager (RM) on 02/11/2022 at 3:55 PM acknowledged Chlorhexidine Gluconate was not administered for nine (9) doses. The RM stated no comment was documented for the missed doses.
Review of the Administration of Medication General Policy, Effective: 12/2021, documented medications shall be administered in accordance with the orders of the prescriber or practitioner responsible for the patient's care and accepted standards of practice.