Failure to Schedule Follow-Up Urology Appointment for Catheterized Resident
Penalty
Summary
The facility failed to ensure appropriate follow-up care for a resident with an indwelling urinary catheter. The resident, who had a diagnosis of benign prostate hyperplasia with lower urinary tract symptoms, experienced urinary retention and was hospitalized, after which a catheter was inserted. Documentation showed that the resident had a series of urology consults, with the last appointment indicating the need for further discussion of two treatment options with a doctor. However, review of the clinical record did not show that the recommended follow-up appointment was scheduled. This lapse was confirmed by the unit manager, who acknowledged that the facility did not arrange the necessary follow-up for the resident's ongoing catheter management and treatment options, as required by facility policy and resident care standards.