The information below comes from the statement of deficiencies compiled by health inspectors and provided to AHCJ by the Centers for Medicare and Medicaid Services. It does not include the steps the hospital plans to take to fix the problem, known as a plan of correction. For that information, you should contact the hospital, your state health department or CMS. Accessing the document may require you to file a Freedom of Information Request. Information on doing so is available here.
|TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD||1600 HOSPITAL PARKWAY BEDFORD, TX 76022||Aug. 22, 2013|
|VIOLATION: ADMINISTRATION OF DRUGS||Tag No: A0405|
|**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on record review and interviews nursing failed to provide drugs and biologicals in accordance with the approved medical staff policies and procedures in that the patient provided antidepressant medication Viibryd for one of one patient (Patient #2) was not processed according to hospital policy.
The hospital's "Patient's Own (Home) Medications" policy (Policy#DD5.34), not dated, noted that "...once received in the unit, 2 nurses document the number or amount of patent's own (home) medication in the eMAR [electronic medication administration record] under comments."
Patient #2's Registration Form reflected Patient #2's hospital admitted 06/27/13 at 14:03.
Admitting orders for Patient #2 were dated 06/27/13 at 16:09. A document labeled "Medications" dated 06/27/13 at 16:09 reflected an order for Viibryd 40mg (milligram) daily and "patient supplied medication."
The History and Physical documentation dated 06/27/13 at 17:44 noted Patient #2 was admitted for major depression.
Patient #2's Medical History Form dated 06/27/13 reflected the patient had been taking Viibryd 40mg for more than six months.
The Medication Administration Record dated 06/28/13 reflected Viibryd was a patient supplied medication and had been identified by pharmacy on 06/28/13.
Hospital Personnel #2 stated during an interview on 08/22/13 at 10:25 AM that Viibryd was not on the hospital's formulary and needed to be administered from patient own supply. Hospital Personnel #2 stated Patient #2's Viibryd medication was ordered on [DATE] at 16:20 to be administered daily at 9:00AM. Pharmacy identified the home brought medication as Viibryd on 06/28/13 at 11:15 AM. Patient #2 received her Viibryd medication on 06/28/13 at 11:50 AM as "a late dose."