Nursing Home News — Page 597

## Critical Seizure Event Details On the day of the seizure, a nursing alert documented the frightening medical emergency.

Facilities must establish written policies and procedures for medication administration and ensure all staff members follow these protocols consistently.

The resident had been receiving the powerful narcotic pain medication at least five times daily to manage breakthrough pain not covered by his Fentanyl patch.

The Activities Director witnessed the assault, stating she "just stepped out of my office when I saw the incident" of R505 touching R504's chest.

Records showed the sacral wound measured 4.5 cm in length, 1.2 cm in width, and 2 cm in depth at the time of inspection, with exposed bone and tissue visible.

The policy states that trained rescuers should provide chest compressions and ventilations with the correct 30:2 ratio.

Federal regulations require nursing facilities to immediately report all allegations of abuse to the administrator and state agency.

The Clinical Manager admitted to inspectors that the facility "forgot to act upon" the pharmacist's recommendation to review the medication's appropriateness.

Despite this clear indicator, nursing staff failed to develop the required care plan for fall prevention.

At 1:20 AM, a certified nursing assistant discovered the resident sitting on the floor near their bed, having fallen while attempting to get up unassisted.

Over the next 30 minutes, staff separated the residents repeatedly.

Pre-popping medications makes verification of these critical safety checks impossible.