STAFFING: 32320 - RCR s.68(4) - A licensee must ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Observation: Review of the MAR determined that results of PRN monitoring had not been completed and this is required as per the facility MSAC policies and procedures.
Corrective Action(s): Ensure that all employees comply with the policies and procedures of the medication safety and advisory committee.
Date to be Corrected: July 15, 2019
RECORDS AND REPORTING: 39380 - RCR s.84(e) - If a person in care is restrained, a licensee must ensure that the following information is recorded in the care plan of the person in care: (e) the result of any reassessment of the use of the restraint.
Observation: Review of one of four persons in care (PIC) care plan found that documentation that was to be reviewed and reassessed on June 2017 and October 2017 had not been completed. It was confirmed in the PIC's progress notes that the restraints were reviewed and reassessed on June 16, 2019 but there was no document to accompany the progress note.
Corrective Action(s): Ensure that any reassessment of the use of restraints is completed and documented.
Date to be Corrected: July 15, 2019
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