Get Supportive Living Facility Medication Error Report Medication Bb - Hfs

Filling out the Supportive Living Facility Medication Error Report is a crucial task to ensure proper documentation of medication errors. This guide will provide you with clear instructions on how to accurately complete the form online.

Follow the steps to complete the form efficiently.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by filling out the facility information. Enter the facility name and address in the designated fields.
3. Input the resident's name and their Resident Identification Number (RIN) in the specified areas.
4. Provide the date of birth (DOB) of the resident in the corresponding field.
5. In the medication management section, document the details regarding the setup, reminders, and cuing associated with the medication.
6. Indicate the date and time when the error occurred. Ensure to mark whether the time is in a.m. or p.m.
7. List all medications involved by completing the second page of the report.
8. Choose the type of error from the options provided: dosage, time, wrong medication, wrong route, or missed medication.
9. Provide a detailed description of the error in the designated area, being as specific as possible.
10. Document any observed adverse reactions or outcomes related to the error, if applicable.
11. Notify the relevant parties: the physician, the designated representative, and any other individuals involved, providing dates and times for each notification made.
12. Record the physician’s instructions following the error, including the name and city of any hospital involved, if necessary.
13. Develop a plan of correction to prevent future errors, providing clear strategies on how to address the identified issue.
14. Complete the form by adding your signature, title, and the date when you are submitting the form to HFS.
15. Once all fields are filled out, save changes, download a copy for your records, print the document, or use the sharing options as needed.

Start completing your forms online today to ensure accurate documentation.