Improper Storage of Insulin Pens
Penalty
Summary
The facility failed to store medications in a safe and sanitary manner, specifically concerning the storage of insulin pens. During an observation, it was noted that six insulin pens were stored unbagged in the medication cart on A unit Short Hall. This improper storage method posed a risk of cross-contamination, as confirmed by an LPN present during the observation. Further confirmation of this deficiency was provided by the Director of Nursing, who acknowledged that the facility did not prevent the risk of cross-contamination by storing insulin pens unbagged in the medication carts for A unit Long Hall. The facility's policy on infection control, which was reviewed, indicated a structured program focused on infection prevention and management, yet the observed practices did not align with these standards.
Plan Of Correction
The facility will ensure that all insulin pens in compartments will be stored appropriately in bags to prevent cross contamination in accordance to state and federal regulations. The insulin pens identified in survey that were not stored appropriately were discarded and replaced and stored in bags to prevent cross contamination. The facility will conduct a house audit on residents with insulin pens to ensure that all residents with insulin pens are bagged and stored appropriately to prevent cross contamination. The Director of Nursing or designee will re-educate all licensed nurses, including new hires and agency on Federal Regulation F0880 detailing facility policy on proper bagging of insulin pens. The Director of Nursing or designee will complete an audit 3 times weekly for 4 weeks and then monthly for 3 months to ensure insulin pens are bagged appropriately. Results of these audits will be forwarded to the monthly Quality Assurance and Performance Improvement committee for review and frequency of audits.