Failure to Implement Infection Control Practices for Respiratory Devices and Shared Equipment
Penalty
Summary
The facility failed to implement proper infection prevention and control practices for three out of seven sampled residents. For one resident with a history of COPD, pulmonary embolism, and recent hospitalization for respiratory issues, an incentive spirometer was observed on the nightstand without a protective covering when not in use. The registered nurse confirmed that the device should be stored in a plastic bag and dated, but it was left uncovered to keep it readily available. The Director of Nursing also acknowledged that, although there was no formal protocol, the expectation was for the device to be bagged when not in use. Additionally, staff failed to disinfect the blood pressure cuff on the vital signs machine between use on different residents. One resident had their blood pressure measured with a cuff that was not cleaned before or after use, and the same cuff was subsequently used on another resident without disinfection. The registered nurse did not use disinfectant wipes, which were not present on the machine, and admitted to not cleaning the cuff due to nervousness. The Director of Nursing stated that staff are expected to clean the vitals machine with bleach wipes between residents, as outlined in the facility's infection control policy.