Violation Details: 00244488-AP-200788

Records Request Print
Date
2/20/2023
Report number
00244488-AP-200788
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings
Alleged Victim (AV) relies on the facility to administer his/her medication. Alleged Perpetrator 3 (AP3) was told not to reposition AV for about 15 to 30 minutes after administering morphine. AP3 gave AV morphine, waited 5 minutes, and then got AV’s brief changed. Due to AP3 not waiting the required 15 to 20 minutes after administering morphine, AV was in pain. AP3 failed to administer medication as ordered, which is neglect of care and constitutes abuse. The facility failed to assure medication was administer as order, which is a violation of Oregon Administrative Rules.
Sanction
ALFCP23-00443 $500.00 fine assessed