{"Short_Answer__76":"201907799","Date__77":"12\/16\/2019","Multiple_Choice__78":"Kristie Pittman","Short_Answer__80":"REM Heartland, Inc. - Cougar Drive","Multiple_Choice__84":"Medication Error","Multiple_Choice__85":"Blue Earth County","Date__86":"10\/19\/2019","Free_Text__87":"The individual was setting up her medication for the week on Tuesday 10\/15\/19. The individual stated that she\r\ntook the bottle of pills from the box of medication that staff left unattended. Individual stated on 10\/20\/19 that she took 30 pills on 10\/17\/19\r\nand took 19 pills on 10\/19\/19. The medication was Hydroxyzine 25mg capsules. The individual did not have any apparent side effects from\r\ntaking the medications.","Multiple_Choice__96":"1","Short_Answer__91":"Staff left person unsupervised duirng medication setup","True_or_False__94":"No","Multiple_Choice__99":"Staff No Longer Employed","Free_Text__100":"Person was left unsupervised during medication set up was influenced by DSP perception that the people who are their own guardians can direct their own services.  Person was their own guardian. Also contributing to the staff\u2019s perception is the training they receive on person center planning which is a requirement of 245D.  The training offered to staff is impacted by the funding that is allowed in the Disability Waiver Rate Setting Tool, which doesn\u2019t always capture the training staff may need to support a person with mental health issues. \r\n Also influencing the staff to leave someone unsupervised that there were 4 people in the home and the time of the day at the home was busy.  Staff are responsible for ensuring the safety of all people in the home which is a requirement by the CSSP of each person as well as the requirements of 245D. \r\nFurther impacting staff leaving the person unsupervised during medication setup is that staff at the home would often prioritize the needs of the other 3 people in the home due to their higher and lower autonomy.  . The moratorium decreased the number of beds available and created a bed shortage.\r\nThe final influence as to why the staff left the person unsupervised was the staff was comfortable leaving the person alone.  The person was high functioning and their own guardian.  Person being served had no history of abusing medications while residing in the home and no history of issues during medication set up influencing staff to have a trusting relationship with the person further impacting the staff being comfortable leaving the person unsupervised during medication set up.  The person had chosen to set up their medications independently with supervision.  The provider was assigned responsibility for medication set up with supervision by the case manager and agreed to by the person.  The mental health professionals involved did agree that there was a need for medication set up assistance, influencing why the provider was assigned medication set up responsibilities. The person\u2019s MnCHOICES assessment did identify a need for medication responsibilities, which in turn was impacted by the levels of medication responsibilities identified in 245D.  The case manager\u2019s awareness of the person\u2019s history, which included a previous suicide attempt, further impacted the case manager assigning the provider medication set up assistance responsibility.","Multiple_Choice__101":"3","Free_Text__102":"Person was left unsupervised during medication set up was influenced by DSP perception that the people who are their own guardians can direct their own services\r\n Person being served had no history of abusing medications while residing in the home and no history of issues during medication set up influencing staff to have a trusting relationship with the person further impacting the staff being comfortable leaving the person unsupervised during medication set up.","Multiple_Choice__103":"3","Free_Text__104":"The training offered to staff is impacted by the funding that is allowed in the Disability Waiver Rate Setting Tool, which doesn\u2019t always capture the training staff may need to support a person with mental health issues.","Multiple_Choice__105":"0","Multiple_Choice__107":"0","Multiple_Choice__111":"0","Multiple_Choice__113":"0","Multiple_Choice__115":"0","Multiple_Choice__117":"0","Multiple_Choice__119":"2","Free_Text__120":"Impacting the mix of personal needs in the home that providers have serving people with different diagnosis in one home more often since the foster care moratorium took effectThe moratorium decreased the number of beds available and created a bed shortage.","Multiple_Choice__121":"0","Multiple_Choice__123":"2","Free_Text__124":"Further impacting staff leaving the person unsupervised during medication setup is that staff at the home would often prioritize the needs of the other 3 people in the home due to their higher and lower autonomy","Multiple_Choice__125":"0","Yes_or_No__432":"Yes"}