Improper Care of Indwelling Urinary Catheter
Penalty
Summary
The facility failed to ensure proper care for an indwelling urinary catheter for one resident. A quarterly Minimum Data Set (MDS) assessment indicated that the resident was able to understand and communicate and had an indwelling urinary catheter. The resident's care plan required staff to position the catheter bag and tubing below the bladder level. However, observations on January 7, 2025, revealed that the resident's catheter drainage bag and tubing were lying on the floor. Interviews with a Licensed Practical Nurse and the Director of Nursing confirmed that the catheter bag and tubing should not have been on the floor.
Plan Of Correction
1. The medical record for R34 cannot be corrected. 2. The Director of Nursing or designee will audit current residents ordered urinary catheters for positioning below the level of the bladder and tubing off the floor. 3. The Director of Nursing or designee will re-educate nursing staff on the procedure positioning of urinary catheters below the level of the bladder and tubing off the floor. 4. The Director of Nursing or designee will audit 25% of residents with urinary catheters for proper positioning of the urinary catheter and placement of the tubing. The audits will be conducted weekly x4 and monthly x2. All findings will be submitted to the Quality Assurance Committee.