MEDICATION: 36130 - RCR s.70(4)(a) - A licensee may permit a person in care to self-administer medications if a plan for self-medication is (a) approved by the medication safety and advisory committee and the medical practitioner or nurse practitioner who prescribed or ordered the medication.
Observation: Self-administration plans for three medications had not been approved by an authorized health professional and the MSAC. RCR s.69(3)(a) regarding medication storage also requires consideration in the plans (repeat contravention from routine inspection KPRK-CGQR79).
Corrective Action(s): Ensure medication self-administration plans are approved my authorized health professionals and the MSAC.
Date to be Corrected: April 6, 2023
RECORDS AND REPORTING: 39040 - RCR s.71(b)(i) - A licensee must ensure that (b) if changes in the directions for use of a medication are made by a medical practitioner or nurse practitioner, (i) the changes are promptly recorded on the person in care's medication administration record.
Observation: One prn was provided as a scheduled medication without changes recorded on the MAR by an authorized health professional.
Corrective Action(s): Ensure medication changes are recorded on the MAR
Date to be Corrected: April 6, 2023
RECORDS AND REPORTING: 39400 - RCR s.85(3) - A licensee must keep a copy of each policy and procedure of the medication safety and advisory committee.
Observation: Written policies were not available regarding leaves of absence and self-administration (repeat contravention from routine inspection KPRK-CGQR79).
Corrective Action(s): Ensure a copy of the MSAC policies are available to staff.
Date to be Corrected: April 6, 2023
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