Violation Details: 00308275-AP-261034

Records Request Print
Date
1/19/2024
Report number
00308275-AP-261034
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0055(1)(a) and (f)
External site: 411-054-0070
Findings
On or about January 22, 2024, it was discovered that there was a discrepancy in the Alleged Victim's (AV) liquid pain medication. Alleged Perpetrator #2 (AP2) had administered AV's liquid pain medication with a cup rather than the appropriate syringe for the medication on January 19, 2024. AP2 was not trained properly on administering liquid medication by the facility. AV did not suffer any adverse reaction to receiving more medication than prescribed. The facility's failure to ensure proper training of staff is a violation of Oregon Administrative Rules.