Tripping Hazard Due to Improper Electrical Cord Management
Penalty
Summary
The facility failed to ensure a safe environment for a resident by not adequately managing an electrical cord, which created a tripping hazard. During an observation, it was noted that an electrical cord for an air mattress was wrapped around a side table and suspended in the air, posing a risk of tripping in the resident's room. A registered nurse was present during the observation and was informed of the hazard by the surveyor. The nurse then readjusted the plug behind the bed. The resident involved had a history of acute failure and COVID-19, and was dependent on staff for transfers due to monoplegia of the right dominant side. The resident's care plan indicated a risk related to their condition, and interventions were in place to follow facility protocol. The facility's policy emphasized making the environment as free from accident hazards as possible, with a focus on resident safety and supervision. However, the presence of the tripping hazard indicated a lapse in adhering to these safety protocols.
Plan Of Correction
F-689 Free of Hazards / Supervision/Devices Identify patients that were at risk and what did: Patient #2 bed cord was identified by surveyor and told Administrator; the director of plant operations was instructed to tie all the to the frame to be removed from any potential trip hazard. Thereafter, a full house audit was completed after surveyors identified the issues on potential tripping hazards. All rooms were checked for safety on. How will you identify other patients that are at risk: A full house audit was completed after surveyors identified the issues on potential tripping hazards. All rooms were checked for safety. Staff were also inserviced on to discuss the risk of tripping hazards. Measures put in place: Staff were inserviced on all risk and precautions and safety measures that required. Upon admission, resident rooms are assessed for room safety. The supervisor that is on site will provide a new QAPI Comprehensive Supervisor Rounding tool form that spot checks rooms with any potential trip hazards such as any electronic charging devices. We have also added to our Gang Tackling Quality programs where scheduled rooms are checked monthly to ensure that any findings out normal are addressed immediately and reported to Management. The forms are part of Housekeeping and Maintenance department QAPI Tracking. Training occurred on staff were also provided with 6-point training on overall safety hazards and the risk associated. The supervisor form will be handed to DON for compliance tracking. How will you monitor: The DON/Maintenance and Housekeeping Supervisors will be responsible for bringing the findings and summary to the QAPI Committee. This will occur Monthly for 3 months, then quarterly and or if any variances are reported ongoing.