HospitalInspections.org

Based on a review of Medical Records, (MR), and interview with staff (EMP) it was determined that the facility failed to ensure that medications were administered according to physician order for one of one Medical Record reviewed (MR1).

Findings include:

A review of MR1 with EMP5 on March 30, 2015, revealed a physician order dated February 26, 2015, for Atropine sulfate (used to help dry secretions) 1% drops, one drop oral twice a day.

An interview conducted on March 30, 2015, at 11:00 AM with EMP1 revealed that the patient had been administered six doses of the Atropine in his eyes. The error was discovered on March 2, 2015, when the patient complained of blurry vision. Further interview with EMP1 confirmed that nursing had misread the physician order and administered the ordered medication by the wrong route.