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PAM HEALTH SPECIALTY HOSPITAL OF STOUGHTON
ADMINISTRATION OF DRUGS
Tag No.: A0405
Based on review of Patient #1's medical record the Hospital failed to ensure that Patient #1's insulin was administered in the appropriate timeframe.
Findings include:
Patient #1 was admitted to Hospital #2 on 10/7/11 at 6:00 P.M. for physical rehabilitation and monitoring of heparin therapy.
The Nursing Admission Assessment, dated 10/7/11 at 6:38 P.M. and completed by Nurse #1, indicated that Patient #1's past medical history included diabetes.
Laboratory results, dated 10/7/11 at 6:41 P.M., indicated that Patient #1's fingerstick glucose was reported as 174 mg/dL (normal blood sugar 65 to110).
Physician Orders, dated 10/7/11 at 7:33 P.M., indicated that Insulin Human Regular was to be administered subcutaneously (an injection into the tissue immediately below the outer layer of skin) by sliding scale; if BS < 150, no insulin, if BS 151 to 200, give 2 units, if BS 201 to 250, give 4 units, if BS 251 to 300, give 6 units, if BS 301 to 350, give 8 units, if BS 351-400, give 10 units, if BS > 401 call Physician.
The Medication Administration Documentation, dated 10/7/11 at 10:40 P.M., indicated that Regular Insulin 2 units subcutaneously was not administered until 9:00 P.M.on 10/7/11 by Nurse #2.