Due to Covid, we visit with my mom at her window; a week or so ago a nurse, who just happened to be in my mom's room when my sister stopped by; told my sister that they needed a different strength of her meds to administer it according to the prescription.
I emailed the doctor about the meds not being given and recapped my conversation with her and 2 other nurses about the meds and the milligram change. The Doctor sent me med charting to show that the meds were given. 2 days later the doctor emailed me saying the meds were in fact NOT given. She apparently did not know how to read the med charting form which indicated to see the key for the form to understand what was happening. A nurse had brought it to her attention that the meds were not given per the form, after she told me the meds were being given.
It appears that the issue was not brought to the Doctor's attention directly and in a timely manner for correction. In the same email she told staff that they would need to communicate off line on how to prevent an issue like this from happening again.
A couple of days later a charge nurse and the social worker contacted me via a conference call to ask for clarification on my email; which was plainly written. I asked if their was protocol in place to catch things like this and I was told that from now on he would tell the med techs to count the meds and notify the family. I suggested a system that provided checks & balances and accountability for proper follow through, he felt that was too much work.
I am concerned that something as important as med administration has no clear chain of commands for discrepancies. I do not want to get anyone in trouble, but I am concerned that something like this could happen; for 30 days no one mentioned to anyone that one particular med was not being administered to my mom. What is the best way to move forward with this????? Thank you!