Nursing Home News — Page 419

After finishing the perineal care, the nursing assistant put a new incontinence brief on the resident while still wearing the same gloves used during cleaning.

Despite giving scheduled medications, she left no written record that any treatments had occurred.

His doctor also ordered nurses to verify the oxygen humidification bottle contains adequate distilled water at least every shift.

She emphasized that no clinical discharge summary was provided with the transfer.

Resident 5 swallowed four medications meant for someone else at 9:00 AM on October 17, according to inspection records.

The resident's spouse discovered the problem after the regular meal period had ended.

Staff B, a registered nurse at Southeast Iowa Regional Medical - Klein Center, found the resident on the bathroom floor.

The resident's medical record, known as a Kardex, clearly indicated she needed two-person assistance for all transfers using mechanical equipment.

The problems began on August 5 when staff discovered a stage 2 pressure injury in the resident's gluteal cleft.

The October 9 accident at The Meadows left the resident bleeding profusely from their forehead while still attached to the Hoyer lift sling.

The November incident at Buena Park Nursing Center exposed a basic breakdown in patient safety protocols.

Staff also failed to check her blood pressure that day, leaving blank entries on her medication administration record.