| 51 |
BOYINGTON HEALTH AND REHABILITATION |
255092 |
1530 BROAD AVE |
GULFPORT |
MS |
39501 |
2019-03-08 |
658 |
D |
0 |
1 |
M3XR11 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, record review, and facility policy review, the facility failed to administer Resident #61's multidose inhaler in a manner to prevent thrush for one (1) of three (3) residents observed for multidose inhaler administration. Findings include: Review of the Mississippi Nursing Practice Law, with an effective date of (MONTH) 1, 2010, revealed on pages three and four (3 & 4) of 26: 73-15-5 Definitions. (2) The practice of nursing by a registered nurse means the performance for compensation of services which requires substantial knowledge of biological, physical, behavioral, psychological, and sociological sciences, and of nursing theory as the basis for assessment, diagnosis, planning intervention, and evaluation in the promotion, maintenance of health; management of individual's responses, to illness, injury or infirmity; the restoration of optimum function; or the achievement of a dignified death. Nursing practice includes, but is not limited to, administration, teaching, counseling, delegation, and supervision of nursing, and execution of the medical regimen, including the administration of medications, and treatments prescribed by any licensed or legally authorized physician, or dentist. (5) The practice of nursing by a licensed practical nurse means the performance for compensation of services requiring basic knowledge of the biological, physical, behavioral, psychological, and sociological sciences, and of nursing procedures which do not require the substantial skill, judgement, and knowledge required of a registered nurse. These services are performed under the direction of a registered nurse, or a licensed physician, or licensed dentist, and utilize standardized procedures in the observation, and care of the ill, injured, and infirm; in the maintenance of health; in action to safeguard life and health; and in the administration of medications, and treatments prescribed by any licensed physician, or licensed dentist authorized by state law to prescribe. Review of the Medication Guide (no date) for [MEDICATION NAME] revealed rinse mouth with water and spit the water out after each dose (2 puffs) of [MEDICATION NAME]. Do not swallow the water. This will help to lessen the chance of getting a fungus infection (thrush) in mouth and throat. On 03/06/19 at 9:00 AM, an observation during the medication pass, revealed Licensed Practical Nurse (LPN) #2 administered [MEDICATION NAME] 80-4.5 mcg two (2) puffs to Resident #61. LPN #2 gave Resident #61 water, and told him to swish the water in his mouth. Resident #61 swallowed the water. LPN #2 said great Job. LPN #2 did not educate the resident to spit the water out. Review of Resident #61's Physicians Orders, dated 02/04/19, revealed [MEDICATION NAME] Aerosol 80-4.5 mcg (micrograms)/ACT ([MEDICATION NAME]-[MEDICATION NAME]) two (2) puffs inhaled orally every 12 hours related to [MEDICAL CONDITION], Unspecified. Rinse mouth with water after use do not swallow. Review of Resident #61's Medication Administration Record, [REDACTED]. Rinse mouth with water after use do not swallow. During an interview, on 03/08/19 at 11:34 AM, LPN #2 confirmed she should have told the resident not to swallow the water. LPN #2 said the resident can get thrush by swallowing the water after inhaling steroids. During an interview, on 03/08/19 at 11:36 AM, the Director of Nursing (DON) confirmed the nurse should have asked the resident to spit the water out after inhaling steroids to prevent thrush. A review of Resident #61's Face Sheet revealed the facility admitted Resident #61, on 01/03/2019, with [DIAGNOSES REDACTED]. A review of Resident #61 Quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 01/14/2019, revealed Resident #61 had a Brief Interview for Mental Status (BIMS) score of 14, which indicated the resident was cognitively intact. |
2020-09-01 |