Antibiotic Not Administered as Ordered for UTI
Penalty
Summary
A resident with diagnoses including hypertension, type 2 diabetes mellitus, and atrial fibrillation was admitted to the facility and had a physician's order to receive Levaquin 500 mg by mouth every 24 hours for three days to treat a urinary tract infection. The Medication Administration Record showed that the antibiotic was administered on the first two days, but on the third day, the medication was not given, with documentation indicating it was unavailable and had been ordered from the pharmacy. However, the Director of Nursing later confirmed that the medication was actually available in the Pyxis dispensing machine at the time, and could not explain why the nurse did not administer the antibiotic as ordered. There was no documentation of further administrations of the medication after the missed dose.