Failure to Document Time of TB Test Readings for Employees
Penalty
Summary
The facility failed to follow its policy and procedure for administering and documenting two-step Mantoux skin tests for tuberculosis for four out of five employees reviewed. Specifically, for each of the employees, the facility's forms indicated the dates the TB tests were administered and read, but there was no documentation of the time the tests were read, as required by facility policy. The policy states that both the date and time of administration and reading must be recorded. During an interview, an LPN confirmed that all information, including lot number, date, time, and initials, should be documented when administering and reading TB tests, and that the tests should be read within 48-72 hours. The facility's current policy, reviewed and provided by the DON, also specifies that the administration and reading of the Mantoux test must include the date and time. The lack of time documentation for both steps of the TB test for these employees constitutes a failure to follow established infection control procedures.