May Featured Scenario F-425 Facility Drugs & BiologicalsPHARMACY SERVICES

In this incident, the facility failed to assure accurate manufacturer information was available to guide staff in the use of blood glucose monitoring units. The facility failed to utilize the correct blood glucose monitoring test strips for the blood glucose monitoring units and to follow the manufacturer's instructions for calibration and coding of blood glucose monitoring units for evaluation of diabetic residents' blood sugars. This has the potential to cause inaccuracy of assessments of blood sugars and therefore potentially alter the pharmaceutical treatment the diabetic residents receive or do not receive based on potentially inaccurate assessments. There were multiple incidents over the course of the survey that contributed to these findings.

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What actions would you and your staff members take to prevent this from occurring in your facility?

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