Violation Details: 00162352-AP-128697

Records Request Print
Date
9/27/2021
Report number
00162352-AP-128697
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(a)(f) and (r)
External site: 411-054-0028(2), 411-054-0055(1)(a) and (f)
Findings
Alleged Victim (AV) relies on the facility to administer his/her medications. On or about September 27, 2021, Alleged Perpetrator 2 (AP2), was using a parameter note that was noa approved by the facility. AP2 administer 40 units of AV’s medication versus that is should have been administer, which is 4 units per sliding scale parameters. AP2’s failed to provide a safe medication administration system to AV. The facility failed to provide a safe medication administration system for AV, which is a violation of Oregon Administrative Rules.