Failure to Ensure Proper Positioning and Labeling During Enteral Feeding
Penalty
Summary
The facility failed to provide necessary gastrostomy tube (GT) care and services for a resident receiving enteral feeding. Specifically, the resident was observed in bed with the head of the bed only slightly elevated, not meeting the required 30 to 45 degrees elevation during GT feeding as ordered by the physician and outlined in the facility's policy and procedure. This was confirmed during an observation and interview with an LVN, who verified that the resident's head of bed was not properly elevated while the GT feeding was in progress. Additionally, the GT feeding bag containing Fibersource 1.2 was not labeled with the date and time it was hung, contrary to the facility's policy which requires such labeling to ensure safe administration and monitoring of enteral nutrition. The LVN also confirmed that the feeding bag was missing the required label. These failures were identified through observation, interview, and review of the resident's medical record and facility policies.