- Date
- 6/21/2019
- Report number
- 00038523AP-027063
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- AP neglected AV as defined in OAR 4110200002 (1) (b) (A)(i) by failing to manage AVs medication correctly resulting in AV having 2 pain management patches on at the same time.