Missed Administration of Prescribed Antibiotic for UTI
Penalty
Summary
A resident diagnosed with a urinary tract infection (UTI) was prescribed Sulfamethoxazole/Trimethoprim 800/160 mg to be administered orally twice daily for seven days, starting on 05/14/2025 at 8:00AM. Review of the electronic Medication Administration Record (eMAR) showed that the resident did not receive the scheduled morning dose as ordered. The medication was available in the facility's Emergency Drug Kit at the time the dose was due. Interviews with nursing staff and the Director of Nursing confirmed that the medication should have been administered from the Emergency Drug Kit if it was not available from the pharmacy. However, the staff did not administer the medication as ordered, and one nurse indicated a lack of knowledge regarding the contents of the Emergency Drug Kit. The administrator was unable to provide an explanation for the missed dose despite the medication's availability.