Urinary Drainage Bag Found on Floor, Breaching Infection Control Policy
Penalty
Summary
A deficiency was identified when a resident with multiple diagnoses, including benign prostatic hyperplasia, obstructive and reflux uropathy, hematuria, chronic kidney disease stage 3, cognitive communication deficit, weakness, and gait abnormalities, was observed with an indwelling urinary catheter. The resident was found lying in bed with the urinary drainage bag placed directly on the floor next to the bed. This observation was made by both a nursing supervisor (RN) and later confirmed by the Director of Nursing, who both acknowledged that the urinary drainage bag should not be in contact with the floor due to infection control concerns. The facility's own policy on urinary catheter care, dated 02/14/19, specifies that urinary drainage bags and tubing must be positioned to prevent them from touching the floor, in order to reduce the risk of infection. Despite this policy, the drainage bag was not properly secured and was left on the floor, constituting a failure to follow established infection prevention guidelines for residents with indwelling catheters.