Infection Control Lapses During Medication Administration and Resident Transfer
Summary
The facility failed to adhere to proper infection control practices as outlined by the Centers for Disease Control (CDC) and the facility's own policies. Specifically, a Licensed Practical Nurse (LPN) did not perform hand hygiene before and after administering medications to residents, nor between donning and doffing gloves during medication administration. This was confirmed through observations and interviews with the LPN and the Director of Nursing (DON), who acknowledged the necessity of hand hygiene in these situations. Additionally, two Certified Nurse Assistants (CNAs) did not follow Enhanced Barrier Precautions when transferring a resident with a gastrostomy tube and a Foley catheter. The CNAs failed to wear gowns and did not perform hand hygiene before and after glove use. One CNA was observed entering another resident's room with the same gloves on, and both CNAs did not remove gloves or perform hand hygiene after handling potentially contaminated items. The Infection Control Preventionist confirmed these lapses in protocol, emphasizing the importance of gown and glove use, as well as hand hygiene, in preventing the spread of infections.
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