Failure to Use PPE in Enhanced Barrier Precautions Room
Penalty
Summary
The facility failed to maintain infection prevention practices when a Licensed Practical Nurse (LPN C) did not wear Personal Protective Equipment (PPE) in an enhanced barrier precautions room. According to the facility's Infection Control Guide, enhanced barrier precautions require the use of gown and gloves during high-contact resident activities, especially for residents with wounds. Resident #77, who was admitted with multiple diagnoses including a Stage IV pressure ulcer, was receiving treatment for the ulcer. During an observation of the pressure ulcer care, LPN C was noted to perform the treatment without wearing a PPE gown, despite the resident being in an enhanced barrier room. This was confirmed during an interview with Registered Nurse (RN) D, who acknowledged that PPE should be worn during such procedures.