Failure to Properly Clean and Store Nebulizer Mouthpieces
Penalty
Summary
Facility staff failed to properly rinse and store nebulizer mouthpieces after each use for five residents with various respiratory conditions, including COPD, emphysema, and acute respiratory failure. Observations revealed that nebulizer mouthpieces were left on top of nebulizer machines or bedside tables, rather than being rinsed, air dried, and stored in a clean plastic bag as required by facility policy and best practice guidelines. In several instances, staff confirmed during interviews that the correct procedure was not followed. Residents affected had physician orders for inhaled medications via nebulizer, and staff, including LPNs, CNAs, and the Infection Preventionist, acknowledged that the mouthpieces should have been rinsed and stored appropriately after each use. Documentation and interviews indicated that the failure to follow proper cleaning and storage procedures was consistent across all observed cases, placing residents at risk for respiratory infection due to potential pathogen growth in the equipment.