Infection Control Lapses in Catheter Bag Storage and Glucometer Disinfection
Penalty
Summary
Facility staff failed to properly store a urinary catheter drainage bag for a resident with multiple complex medical conditions, including severe cognitive impairment, pressure ulcer, and sepsis. Observations revealed that the resident's catheter drainage bag was repeatedly found either inside a red trash can or directly on the floor while the resident was in a wheelchair or in their room. A nurse aide confirmed that the catheter bag should not be placed on the floor or inside a trash can, indicating a lapse in infection prevention and control practices. Additionally, a licensed practical nurse performed a blood glucose check on another resident and, after completing the procedure, wiped the glucometer with an alcohol wipe instead of the required Sani-Cloth Germicidal Wipes. The Director of Nursing confirmed that the correct disinfection procedure was not followed. These actions demonstrate failures in adhering to established infection control protocols during resident care activities.