Failure to Follow Enhanced Barrier Precautions During Wound Care
Penalty
Summary
The facility failed to ensure that enhanced barrier precautions were followed for two residents with pressure ulcers. For one resident with a Stage 4 sacral pressure ulcer and an indwelling catheter, both the LPN and CNA provided wound care treatment using gloves and performed hand hygiene according to current standards, but did not wear gowns as required by the resident's care plan, physician orders, and facility policy. The care plan and signage outside the resident's room specifically instructed staff to don gowns and gloves during high-contact care activities, including wound care for chronic skin openings. Similarly, another resident with a Stage 3 pressure ulcer, a blister, and a laceration, was observed receiving wound care from an LPN and CNA who also failed to wear gowns during the procedure, despite the resident's care plan and physician orders indicating the need for enhanced barrier precautions. Both residents had clear documentation and signage indicating the requirement for gown and glove use during high-contact care, but staff did not adhere to these protocols during observed treatments.