Failure to Maintain Privacy for Residents with Indwelling Urinary Catheters
Penalty
Summary
Staff failed to maintain privacy for two residents with indwelling urinary catheters, as required by facility policy. For one resident with diagnoses including urinary tract infection and depression, observations showed the urinary catheter drainage bag was attached to the wheelchair without a privacy cover, leaving the urine visible to others. On a separate occasion, the same resident had a privacy bag covering only the drainage tubing, not the drainage bag itself. The resident required assistance for all activities of daily living and had little to no cognitive impairment. Another resident, with diagnoses including urinary tract infection and urethral stricture, was observed lying in bed with a urinary catheter drainage bag secured to the bed railing without a privacy cover. This resident also had little to no cognitive impairment and an indwelling urinary catheter. Staff interviews confirmed that all residents with urinary catheter drainage bags should have privacy covers, and that the facility policy requires privacy bags to be used at all times when catheters are in use.