Failure to Ensure Proper PPE Use During Enhanced Barrier Precautions
Penalty
Summary
Staff failed to use correct Personal Protective Equipment (PPE) when providing care to residents on Enhanced Barrier Precautions (EBP) during two separate observations. In the first instance, a resident with a PICC line, open wound, and incontinence was being cared for by an LPN and a CNA who initially wore only gloves and were unsure if EBP was required, as there was no sign on the door. After discussion, they realized EBP was needed due to the resident's wound and PICC line, and then donned gowns and changed gloves before continuing care. The resident's care plan specified that gowns and gloves were to be worn during high-contact care activities. In the second instance, two CNAs were observed providing a bed bath to a resident with a PICC line and a care plan requiring EBP. Although a sign indicating EBP was present on the door, both CNAs initially wore only gloves and believed EBP was not required. After reading the sign, they donned gowns over their uniforms. The facility's EBP policy required staff to wear gowns and gloves during high-contact care for residents with wounds or invasive lines, but this was not initially followed in either case.