Lack of Communication and Inadequate Hygiene During Resident Transfer
Summary
Certified Nurse Aides (CNAs) were observed transferring a resident from a wheelchair to bed using a full body electronic lift without communicating with the resident at any point during the process. The CNAs did not inform the resident when they were going to lift, turn, or remove her brief. The resident was awake with eyes open but did not speak during the observation. Upon transfer, a wet spot approximately 3 to 4 inches in diameter was noted on the center of the resident's buttock, and her wheelchair had a strong urine odor. After the cushion cover was removed, the wheelchair and cushions continued to emit a strong urine smell.
Penalty
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