Missed IV Antibiotic Dose Due to Failure to Follow Physician's Order
Penalty
Summary
The facility failed to follow a physician's order for a resident who was prescribed intravenous ceftriaxone to treat a urinary tract infection. The physician's order specified that the antibiotic was to be administered once daily for seven days. Review of the resident's care plan confirmed the need for medication administration as ordered. However, documentation on the Medication Administration Record showed that the ceftriaxone dose was not given on one of the scheduled days, and the Assistant Director of Nursing was unable to provide evidence that the medication was administered. Facility policy required documentation of all IV medication administration, including date, time, and clinician initials, but this was not completed for the missed dose.