Failure to Accurately Record Antibiotic Use on Surveillance Log
Penalty
Summary
The facility failed to accurately record the use of antibiotics for one resident on the antibiotic surveillance log. The resident, who was admitted with urinary retention and required a supra-pubic catheter, was diagnosed with a urinary tract infection and prescribed Macrobid 100 mg twice daily for 7 days, followed by Macrobid 50 mg once daily for 90 days. Review of the Medication Administration Record confirmed that the resident received the prescribed antibiotics from March through June, but the facility's Infection Control Log did not include the resident's use of Macrobid 50 mg once daily during this period. During an interview, the Infection Preventionist acknowledged that the resident's antibiotic use was overlooked and not included in the facility's antibiotic surveillance log or infection rate calculations for April, May, and June. This omission resulted in an incorrect facility infection rate for those months. The facility's policies require that all resident infections be tracked and that an antibiotic stewardship program be implemented as part of the infection prevention and control program.