Failure to Use Required PPE During Enhanced Barrier Precautions
Penalty
Summary
Certified Nursing Assistants (CNA 2 and CNA 3) failed to use the required Personal Protective Equipment (PPE) when providing care to a resident who was under Enhanced Barrier Precautions (EBP) due to the presence of a wound. During an observation, both CNAs entered the resident's room, which was clearly marked with a sign indicating EBP requirements, and donned only gloves before assisting the resident with toileting and incontinence care. When questioned, both CNAs denied that EBP was necessary for the resident and continued care without donning gowns as required. Review of the resident's medical record confirmed diagnoses including a right femur fracture, pressure wound, and falls, with physician orders and care plan interventions specifying the need for EBP, including the use of gowns and gloves during high-contact care. The facility's current EBP policy also required staff to wear gowns and gloves for residents with wounds during such care activities.