Failure to Implement Enhanced Barrier Precautions for Residents with Indwelling Devices and Chronic Wounds
Penalty
Summary
The facility failed to implement its Enhanced Barrier Precautions (EBP) policies and procedures for two residents who required these precautions. For one resident with an indwelling Foley catheter, staff was observed adjusting bed linens without wearing a gown and gloves, despite signage indicating EBP requirements and the presence of a PPE cart. Additionally, the resident's care plan did not include interventions for EBP, as confirmed by the Director of Nursing. For another resident with chronic wounds and a history of MRSA, staff was observed providing morning care while wearing gloves but not a gown, even though the resident was on EBP for their wounds. Medical record review confirmed the resident had wounds older than 30 days and that EBP had been initiated. Interviews with staff, including an LPN and an Advanced Practical Registered Nurse, confirmed the resident's EBP status and the need for these precautions due to the wounds and MRSA history.