Failure to Follow Enhanced Barrier Precautions for Residents with Isolation Needs
Penalty
Summary
The facility failed to ensure that enhanced barrier precautions (EBP) were properly implemented for two residents who required isolation due to their medical conditions. For one resident with diagnoses including diabetes mellitus, septicemia, obstructive uropathy, and an indwelling catheter, a CNA entered the resident's room without donning the required personal protective equipment (PPE) such as a gown and mask. The CNA only performed hand hygiene and wore gloves after entering the room, then assisted the resident with a transfer. The CNA stated she was unaware of the need for enhanced barrier precautions, as she had not been informed by the nurse. In another instance, an LPN administered a water flush to a resident's gastrostomy tube while only wearing gloves, despite an EBP sign being posted on the resident's door and a physician's order for EBP in place. The LPN acknowledged that a gown should have been worn during the procedure. Both residents had current care plans and physician orders indicating the need for EBP, and the facility's policy required the use of gown and gloves for high-contact care activities for residents with indwelling medical devices.