Failure to Monitor Antibiotic Use and Update Line Listings
Penalty
Summary
The facility failed to adequately monitor the antibiotic use for a resident who was receiving Gentamycin sulfate through a suprapubic catheter. The medication was prescribed to be administered three times a week, but the resident only allowed it to be administered twice a week during showers. This discrepancy was known to the resident's mother and physician. However, the facility did not update the antibiotic line listing to reflect this resident's use, and the resident was not included in the infection control line listings for several months. The RN Infection Control nurse was unaware of the omission of the resident from the line listings and acknowledged that the resident's Gentamycin use had not been monitored or tracked since 2023. Despite the urologist's indefinite order for the medication, the RN noted that the treatment appeared ineffective based on the resident's lab results. The lack of monitoring was recognized as a potential issue for the growth of MDROs, and the RN confirmed that the resident's antibiotic use should have been included in the monthly line listings.