Hand Sanitizer Unavailable at EBP Isolation Cart
Summary
A cognitively intact resident with diagnoses including a pressure wound, neuromuscular dysfunction of the bladder, and obstructive and reflux uropathy was observed to require Enhanced Barrier Precautions (EBP) due to the presence of an indwelling catheter and a pressure wound. Facility policy mandates the use of EBP, including the availability of personal protective equipment (PPE) and hand sanitizer outside the resident's room, to reduce the transmission of multi-drug-resistant organisms (MDROs) during high-contact care activities. During an observation, signage for EBP and an isolation cart with PPE were present outside the resident's room, but both hand sanitizer dispensers located above the cart were empty. An LPN attempted to use the dispensers and confirmed they were empty, stating that housekeeping was responsible for refilling them. The lack of available hand sanitizer at the point of care represented a failure to fully implement the facility's EBP policy as required for infection prevention and control.
Penalty
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