JOBST KN SMAL 20-30 MMGH

Description of Event or Problem

THE FACILITY RECEIVED ULTRASHEER/ KNE MIS MED. HOWEVER, THE ORDER SHOULD HAVE BEEN FOR JOBST KN SMAL 20-30 MMHG. INVESTIGATION RESULTS: AFTER REVIEW OF THE ABOVE ISSUES, THE FOLLOWING WAS DETERMINED: TYPE OF MEDICATION ERROR: INCORRECT PRODUCT; WAS THE MEDICATION ADMINISTERED TO THE RESIDENT?: NO; AREA WHERE ERROR OCCURRED: DATA ENTRY; MEDICATION(S) PRODUCT(S) INVOLVED: ULTRASHEER/KNE MIS MED VS JOBST KN SMALL 20-30MMHG, ORDER ERROR POTENTIAL: LOW ROOT CAUSE; THE NAME OF THE PRODUCT WAS CLEARLY WRITTEN. IN ACCORDANCE WITH POLICY AND PROCEDURE, THE DATA ENTRY TECH SHOULD HAVE ENTERED THE CORRECT PRODUCT ON THE ORDER. IN ACCORDANCE WITH THE POLICY AND PROCEDURE, THE PHARMACIST SHOULD HAVE VERIFIED THE CORRECT PRODUCT AND DEVIATED FROM THE ESTABLISHED POLICY AND PROCEDURE BY APPROVING THE ORDER AS CORRECT. THE DATA ENTRY TECHNICIAN AND PHARMACIST WERE NOT IN PRESENT TIME WITH THE SCRIPT. (B)(6); ACCESS NUMBER: (B)(4).