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25 | Licensing Program Analyst (LPA) James Sampair met with Acting Executive Director Barbar Tudda concerning errors in the delivery of medications on 12/05/21 and 12/06/21 to 2 different residents, R1 and R2, by med techs Kulbhushan Rai and Camille Mallari. Ms. Tudda had submitted an LIC624 about each of those errors on 12/08/21.
Upon arrival, LPA explained the purpose of the visit with Ms. Tudda and asked her to share with him details about what had happened. She shared that the circumstances in both cases were similar, but that there was no direct relationship between the 2 occurrences. The major similarity was that in both cases the staff members were new in their role as medical technicians (med techs). During their review of what was missing, the presence of which would make a difference in their future training and preparation for new med techs, Ms. Tudda and the Resident Services Director, Eleasha Brown, LVN, saw that what was missing was something at an ontological level. What was missing was asking the new med techs a simple question, "How are you feeling about being on your own?" The intent of that question is to help to relieve some of the pressure that someone new in that position may be feeling to "look good" to their supervisor by going out on their own even when they are not really ready.
Beyond that important work to increase the effectiveness of their training and development for future newly trained med techs, in the short-term all of the med techs have had a retraining on proper procedures. As far as Mr. Rai, he has chosen to give his 2 week notice and for Ms. Mallari she has been now retrained and will be shadowed further by veteran med techs to complete the final stage of her training as a med tech.
During this visit no deficiencies were cited. An exit interview conducted and a copy of this report was provided to the administrator. |