rest home CD register; e) controlled drug ensure that the CD register medications in the rest home are checked evidence two staff signatures; g) out by the RN on a Friday - prior to ensure that there is evidence administration by the caregivers over the that medication are checked weekend; f) the CD register in the hospital against the medication charts shows three places where a second upon arrival to the facility. signature omits; g) the medication packs are not checked against the medication charts in either the hospital or rest home upon arrival to the facility as per accepted best practice. Criterion Service providers PA Moderate On review of the medication competency Ensure that medication 30 1.3.12.3 responsible for medicine register, and on discussion with the competencies are conducted management are competent quality manager, it is that medication annually for all staff that have to perform the function for competencies for some staff have responsibilities for administering each stage they manage. expired. On review of two registered medications. nurse staff files it is noted that medication competencies have not been conducted and syringe driver training and competency has expired. One rest home caregiver file evidenced medication competency last conducted in 2011. Standard Consumers receive an PA Moderate 1.4.7: appropriate and timely Essential, response during emergency and security situations. And Security Systems Criterion Service providers receive PA Moderate First aid training is not provided by a Provide evidence that 90 1.4.7.1 appropriate information, certified trainer. CPR training is not complete a certified first aid training, and equipment to provided for staff. course and CPR course to respond to identified ensure that there is at least one emergency and security staff member on each shift on situations. This shall include each site with a current first aid fire safety and emergency certificate. procedures.
rest home CD register; e) controlled drug medications in the rest home are checked out by the RN on a Friday - prior to administration by the caregivers over the weekend; f) the CD register in the hospital shows three places where a second signature omits; g) the medication packs are not checked against the medication charts in either the hospital or rest home upon arrival to the facility as per accepted best practice. ensure that the CD register evidence two staff signatures; g) ensure that there is evidence that medication are checked against the medication charts upon arrival to the facility. Criterion 1.3.12.3 Service providers responsible for medicine management are competent to perform the function for each stage they manage. PA Moderate On review of the medication competency register, and on discussion with the quality manager, it is that medication competencies for some staff have expired. On review of two registered nurse staff files it is noted that medication competencies have not been conducted and syringe driver training and competency has expired. One rest home caregiver file evidenced medication competency last conducted in 2011. Ensure that medication competencies are conducted annually for all staff that have responsibilities for administering medications. 30 Standard 1.4.7: Essential, And Security Systems Consumers receive an appropriate and timely response during emergency and security situations. PA Moderate Criterion 1.4.7.1 Service providers receive appropriate information, training, and equipment to respond to identified emergency and security situations. This shall include fire safety and emergency procedures. PA Moderate First aid training is not provided by a certified trainer. CPR training is not provided for staff. Provide evidence that complete a certified first aid course and CPR course to ensure that there is at least one staff member on each shift on each site with a current first aid certificate. 90
AuditSummary_PRMS_CommunicatePublish_000000783004.docx