HospitalInspections.org

Based on observation and interview it was determined that the facility did not prepare and administer a medication in accordance with acceptable standards of practice for 1 out of 30 sampled residents. (Patient identifier: 7.)
Findings include:
Patient 7
1. On 4/7/2015 at 8:50 A.M., patient 7 was interviewed. Upon entering patient 7's room for an interview, an unlabeled, unattended syringe containing clear liquid was observed sitting on a computer keyboard. Its needle was exposed. When patient 7's registered nurse (RN) entered the room she was asked what was in the syringe. She answered with "heparin". When asked for the specific dose of the heparin the RN stated that she could not remember and needed to look in the electronic medication administration record. She then answered 5000 units. The RN then administered the injection into the patients abdomen.
2. On 4/8/2015 at 11:45 A.M., an exit conference with director of nursing and quality assurance director was conducted. They both stated that it was against hospital policy to leave an unlabeled, unattended syringe with medication and an exposed needle anywhere. They both stated that anytime a nurse fills a syringe with medication it must be labeled.





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