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.
|PEACEHEALTH SOUTHWEST MEDICAL CENTER||400 NE MOTHER JOSEPH PLACE VANCOUVER, WA 98668||June 24, 2014|
|VIOLATION: ADMINISTRATION OF DRUGS||Tag No: A0405|
|Based on interview and review of documents including patient medical records, it was determined that the hospital failed to meet the requirements in CFR 482.23(c). Drugs shall be administered only upon the order of a practitioner who has been granted clinical privileges to write such orders. Verbal orders for drugs shall only be issued in emergency or unusual circumstances and shall be accepted only by a licensed nurse, pharmacist, or physician, and shall be immediately recorded and signed by the person receiving the order. The hospital's failure to require an order for medications places patients at risk for medication errors.
The patient required immediate interventions and therefore verbal orders were given by the physician to the registered nurse during the course of the patient care. On review of Patient #1's record, there were no written orders by the physician after the emergency care was provided. On further review of additional medical records, Patient #2 and #4 had medication orders charted without the corresponding physician order.