Failure to Properly Store Nebulizer Mask After Use
Penalty
Summary
A deficiency was identified when a resident who required nebulizer treatments for chronic heart and lung disease did not have their nebulizer mask stored in accordance with facility policy. The resident, who had multiple diagnoses including chronic respiratory failure, Alzheimer's Disease, and required assistance with all activities of daily living, was observed to have their dry nebulizer mask left on top of a plastic bag next to the treatment machine, rather than being placed inside a storage bag as required. This observation was made several hours after the last documented treatment, indicating the mask had sufficient time to dry and be stored properly. A subsequent observation found the nebulizer mask and attached oxygen tubing stored inside a closed nightstand drawer, with the tubing hanging out, rather than in a designated storage bag. During interviews, the resident confirmed the timing of the last treatment, and the Clinical Nurse Manager acknowledged that nebulizer masks should be stored in a bag when not in use. These findings demonstrate that staff did not follow the facility's nebulizer process policy regarding the storage of respiratory equipment.