Failure to Implement Enhanced Barrier Precautions During Wound Care
Penalty
Summary
The facility failed to implement enhanced barrier precautions for a resident with diabetic ulcers, as required by infection prevention and control protocols. The resident, who was admitted with diabetic foot ulcers, had physician orders for daily wound care that included the application of idosorb, gauze, and a foam dressing. However, there was no documentation in the resident's medical record indicating that enhanced barrier precautions were in place for the diabetic ulcers. During an observation of wound care, an LPN did not wear a PPE gown or utilize enhanced barrier precautions while treating the resident's three diabetic foot ulcers. The LPN later confirmed not wearing the required PPE gown during the procedure. The DNS/Infection Preventionist also acknowledged that enhanced barrier precautions were not followed during the wound care.