Failure to Sanitize Glucometer and Adhere to Enhanced Barrier Precautions
Penalty
Summary
The facility failed to maintain a safe and sanitary environment to prevent the transmission of communicable diseases and infections. During an observation, an LPN performed a glucometer test on a resident and, after completing the test, did not sanitize the glucometer before placing it back in the medication cart. The LPN acknowledged that the glucometer should be sanitized after each use, and the facility's policy confirmed that cleaning and disinfecting between each resident test was required. Additionally, a CNA provided incontinence care to a resident who was under Enhanced Barrier Precautions (EBP) without donning the required gown, despite a sign indicating EBP was necessary. The CNA was unsure which resident required EBP and proceeded with care using only gloves. The resident's records indicated diagnoses including end stage renal disease and dialysis, with care plans and physician orders specifying the need for EBP, including gown and gloves for high-contact care activities. The facility's EBP protocol also required these precautions during dressing, bathing, and other high-contact activities.