POLICIES AND PROCEDURES: 33130 - RCR s.68(3)(a) - The medication safety and advisory committee must establish and review as required (a) training and orientation programs for employees who store, handle or administer medications to persons in care.
Observation: No documentation since 2015 to evidence that MSAC has:
- Reviewed training/ orientation programs for employees who store / handle/administer medications.
- Reviewed policies and procedures for safe, effective storage, handling and administration of medications
- Reviewed the response and reporting of medication errors and adverse reactions
Corrective Action(s): Ensure MSAC committee has established and reviewed as required training/ orientation programs for employees, policies and procedures for safe, effective storage, handling and administration of medications, as well as response and reporting of medication errors.
Date to be Corrected: December 23, 2016
POLICIES AND PROCEDURES: 33140 - RCR s.68(3)(b)(i) - The medication safety and advisory committee must establish and review as required (b) policies and procedures in respect of (i) the safe and effective storage, handling and administration of the person in care's medications, in compliance with the Pharmacy Operations and Drug Scheduling Act.
Observation: Please refer to 33 130 for reference.
Corrective Action(s):
Date to be Corrected:
POLICIES AND PROCEDURES: 33150 - RCR s.68(3(b)(ii) - The medication safety and advisory committee must establish and review as required (b) policies and procedures in respect of (ii) the immediate response to and reporting of medication errors and adverse reactions to medications.
Observation: Please refer to 33 130 for reference.
Corrective Action(s):
Date to be Corrected:
CARE AND/OR SUPERVISION: 34640 - RCR s.81(3)(c)(i) - A care plan must include all of the following: (c) a nutrition plan that (i) assesses a person in care's nutrition status.
Observation: Screening Forms to assess dietician involvement and Food and Nutrition Information forms were not completed. The manager stated there is not an alternative form of assessment used to assist the licensee to assess the nutritional status for all persons in care.
Corrective Action(s): Ensure assessment forms are completed to assist in creating a Nutrition Care plan for each person in care.
Date to be Corrected: December 23, 2016
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