Failure to Obtain Ordered Laboratory Tests Resulting in Missed Medical Appointment
Penalty
Summary
The facility failed to obtain laboratory tests as ordered by a medical doctor prior to a resident's scheduled appointment. A resident with a history of malignant neoplasm of the right breast, bone involvement, and thrombocytopenia was admitted to the facility and required laboratory tests before an upcoming oncologist appointment. The resident's Minimum Data Set indicated intact cognition and a need for moderate assistance with toileting and dressing. The Social Services designee reported that she was responsible for notifying the RN to arrange laboratory draws for residents. She informed the RN that the resident required laboratory tests for the upcoming appointment, but the RN left early that day, and the SSD did not follow up to ensure the tests were completed. As a result, the laboratory tests were not drawn, leading to the cancellation of the resident's oncologist appointment.