Failure to Implement Scabies Protocol and Isolation Precautions
Penalty
Summary
The facility failed to follow its established protocol for infection prevention and control regarding a resident suspected of having scabies. Upon review of the resident's medical record, it was found that after being seen by a dermatologist and prescribed Permethrin 5% cream for suspected scabies, there was no documentation that the resident was placed on enhanced barrier precautions upon return to the facility. The Assistant Director of Nursing confirmed the absence of such documentation. Further review with the Infection Preventionist revealed that the resident was not placed on isolation precautions as required for suspected scabies cases. Additionally, the Infection Preventionist did not develop a contact identification list for potential exposures, and facility nursing staff had not received training on recognizing and reporting signs and symptoms of scabies infestation. The facility's scabies protocol, which mandates contact isolation and staff training, was not adhered to in this instance.