Failure to Provide Required Catheter Care for Resident with Indwelling Catheter
Penalty
Summary
Nursing staff failed to provide required catheter care for a resident with an indwelling urinary catheter. Facility policy stated that indwelling catheter care should be provided once daily using approved techniques to reduce the risk of catheter-associated urinary tract infection. The resident, who had diagnoses including Alzheimer's, dementia, obstructive and reflux uropathy, urinary retention, and functional urinary incontinence, was dependent on staff for toileting and bathing and required the use of an indwelling urinary catheter. The care plan indicated the need for daily and as-needed catheter care due to the resident's risk for complications. Despite these requirements, there were no physician orders for daily or as-needed catheter care for the resident, and the Treatment Administration Records for the relevant months showed no documentation that catheter care was provided. Observations confirmed the resident had an indwelling catheter in place, and the DON acknowledged that catheter care should have been ordered, documented, and completed according to the care plan.