Failure to Timely Process Physician Laboratory Orders
Penalty
Summary
The facility failed to process a physician's laboratory order in a timely manner for a resident admitted with a history of stroke and anxiety. A physician ordered a sexually transmitted infection (STI) risk panel, but the laboratory requisition was incomplete, lacking the necessary test code and name. The laboratory report indicated that no suitable specimen was received and requested clarification on test requirements. Despite the urgency noted on the requisition, the required Aptima swab was not provided, and the test was not performed. Subsequent clinical notes documented that the resident experienced ongoing symptoms, including foul-smelling vaginal discharge and new-onset hallucinations. The resident completed a course of antibiotics for a urinary tract infection (UTI) without improvement. Staff reported difficulties obtaining the required STI testing due to laboratory refusals and facility budget constraints. The Director of Nursing Services was unable to clarify what occurred with the laboratory results, and ultimately, the resident was sent to the emergency department for further evaluation.