Failure to Follow Infection Control Procedures During Resident Care
Penalty
Summary
The facility failed to maintain proper infection prevention and control procedures during multiple observed instances involving a licensed practical nurse (LPN). In one case, the LPN placed a laptop on a resident's mattress during a blood glucose measurement, allowing the resident's covered foot to come into contact with the device. After use, the LPN did not disinfect the laptop or the glucometer before placing them on the medication cart and storing the glucometer in a drawer. The LPN stated that the glucometer was only used for that resident. Additionally, the LPN was observed administering an intramuscular injection while wearing gloves, but did not perform hand hygiene after removing the gloves and before touching the medication cart. In another instance, the LPN handled a water pitcher and ice scoop without performing hand hygiene after returning from the medication room. Interviews with the Assistant Director of Nursing (ADON) and Director of Nursing (DON) confirmed that these actions were not in accordance with facility policies, which require cleaning and disinfecting equipment between uses and performing hand hygiene at specified times.