Failure to Follow PPE Protocols for COVID-19 Positive Resident
Penalty
Summary
Staff failed to follow proper Personal Protective Equipment (PPE) protocols when caring for a resident who had tested positive for COVID-19. Specifically, a registered nurse entered the room of a resident on aerosol and contact precautions without donning the required PPE, which included a respirator/N95 mask, eye protection, gown, and gloves. Signage was posted at the resident's door indicating the need for these precautions, and the resident's positive COVID-19 status was documented in the medical record. Interviews with facility staff, including the interim administrator and the Director of Nursing Services/Infection Preventionist, confirmed that the expectation was for all staff to use full PPE when entering rooms of residents with COVID-19. The registered nurse acknowledged awareness of the resident's COVID-19 status and the PPE requirements but did not comply with the protocol at the time of observation.