Failure to Label and Change Peripheral IV Line According to Standards
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
A deficiency occurred when a resident with Amyotrophic Lateral Sclerosis was found to have a peripheral intravenous (IV) line in place for one week without a label and without documentation of monitoring or scheduled changes. During an observation and interview, the IV in the resident's right hand was noted to be unlabeled, and the resident confirmed it had been in place for a week. The licensed nurse acknowledged that the IV should have been changed. Review of the medical record revealed no orders to monitor or change the IV prior to the observation, despite an order for IV gentamycin being present. The facility's policy did not specify requirements for labeling or changing IVs at a set frequency.