Improper Maintenance of Nephrostomy Drainage Bag Leading to Infection Control Concern
Penalty
Summary
A urinary nephrostomy drainage bag for one resident was observed clipped to the bed linen, with the bag hanging down into the resident's garbage can, which contained various garbage items. The drainage bag did not have a privacy or dignity cover, and the weight of the urine caused the bag to lower further into the garbage. When questioned, the resident confirmed that the bag should not be in the garbage can and reported a history of frequent urinary tract infections, including a recent severe episode requiring IV antibiotics. The resident's care plan included interventions to be mindful of the nephrostomy tubes, ensure they are fully closed after flushing, and provide a collection bag cover at all times. Despite these interventions, the drainage bag was not properly maintained, resulting in direct contact with contaminated surfaces. Facility staff, including the Nursing Home Administrator and Assistant Director of Nursing, acknowledged the infection control concern when made aware of the situation.