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.
|HILLCREST HOSPITAL CUSHING||1027 EAST CHERRY STREET CUSHING, OK 74023||Aug. 13, 2018|
|VIOLATION: PHARMACY DRUG RECORDS||Tag No: A0494|
|Based on interview and observation, the hospital failed to maintain a current and accurate record of the disposition of scheduled drugs.
This failed practice had the potential for abuse and/or loss of controlled substances which had the potential to increase the risk of diversion by staff and the potential for patients' not to receive medication(s) as ordered.
During a tour of the medication room on 08/07/2018, a previous patient's personal prescription of Dronabinol 5 mg (a Schedule III medication) was observed in the medication refrigerator. The prescription bottle was labeled from Stroud Drug and dated 11/15/2017. There was no indication the hospital pharmacy had controlled the scheduled drug while the patient was at the facility, and the scheduled drug was not returned to the patient or family upon the patient's discharge from the facility.
At 11:00 am, Staff H (the hospital pharmacist) stated normally the pharmacy controls the medication and provides a sign out sheet for the administration of the medication; the medication is returned to the patient at the time of discharge. Medications not claimed by patients or family members are kept on site for approximately three to six months before being destroyed.
There was no documentation provided to the surveyor to indicate this scheduled medication had been controlled by the pharmacy. No policies regarding controlled medications were provided.