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.

NORTH TAMPA BEHAVIORAL HEALTH 29910 SR 56 WESLEY CHAPEL, FL 33543 Dec. 10, 2014
VIOLATION: ADMINISTRATION OF DRUGS Tag No: A0405
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on record review, policy review and interviews it was determined the pharmacy failed to ensure medications orders were accurate and medications were administered as ordered for 1 (#5) of 11 sampled records reviewed.

Findings include:

Patient #5 was admitted on [DATE]. A review of the physician's orders dated 12/04/2014 at 6:39 p.m. revealed:
? Subutex 4 milligrams sublingual at 9:00 a.m. and 5:00 p.m. (May repeat times 1 dose in 1-4 hours if ineffective in relieving signs/symptoms) times 2 days (Opioid Detox Day 1 & Day 2)-Do Not give if sedated or blood pressure less than 90/60 or heart rate less than 60.
? Subutex 2 milligrams sublingual at 9:00 a.m. and 5:00 p.m. (May repeat times 1 dose in 1-4 hours if ineffective in relieving signs/symptoms) times 2 days (Opioid Detox Day 3 & Day 4)-Do Not give if sedated or blood pressure less than 90/60 or heart rate less than 60.
? Subutex 2 milligrams sublingual at 9:00 a.m. (Opioid Detox Day 5)-Do Not give if sedated or blood pressure less than 90/60 or heart rate less than 60.

A review of patient #5's Medication Administration Record (MAR) revealed the medication was profiled and administered on the following dates and times:
On 12/05/14 Subutex 4 milligram was given sublingual at 8:23 a.m. and 5:18 p.m.
On 12/06/14 Subutex 2 milligram was given sublingual at 8:37 a.m. at 4:29 p.m. and 5:44 p.m.
On 12/07/14 Subutex 2 milligram was given sublingual at 8:40 a.m. at 10:20 a.m. at 4:28 p.m. and 6:19 p.m.

An interview with the Director of Nursing confirmed the medication was profiled and administered incorrectly on 12/06/14 and 12/07/14.