Lack of Competency and Training for Tracheostomy Care Among Nursing Staff
Penalty
Summary
The facility failed to ensure that nursing staff had the appropriate competencies and skills to provide tracheostomy care for residents requiring this service. Review of four staff personnel files, including LPNs and an RN Supervisor, showed no evidence of education or competency in tracheostomy care. One LPN, on their first day, reported not receiving any training or education on tracheostomy care from the facility, despite being assigned to a resident with a tracheostomy. Although the LPN had prior experience in pediatric tracheostomy care, there was no documentation of facility-specific training or competency validation. Additionally, the facility assessment did not include tracheostomy care, even though two residents required this service. Interviews with the Nursing Home Administrator and Director of Nursing confirmed that the facility did not ensure sufficient nursing staff with the necessary competencies and skill sets for tracheostomy care. This deficiency was identified through review of facility policy, staff records, training documentation, and staff interviews.