Improper Storage and Handling of Enteral Feeding Syringe
Penalty
Summary
A deficiency was identified regarding the storage and handling of an enteral feeding syringe for a resident with a gastrostomy tube. The resident, who had a history of stroke and difficulty swallowing, was receiving enteral feedings and medications through the tube as ordered by her physician. Observations revealed that the plastic syringe used for administering feedings and medications was stored with the plunger engaged in the barrel and contained a cream-colored liquid residue. The syringe was kept in a plastic bag hanging from the feeding pump pole, and this condition persisted for several hours after use. Interviews with nursing staff indicated a lack of awareness regarding the proper procedure for cleaning and storing the syringe. Both the nurse in training and the supervising nurse were unaware that the plunger should be separated from the barrel, and the syringe should be rinsed and allowed to air dry before storage. The nurse practitioner confirmed that the enteral feeding product contained sugar, which could promote bacterial growth if left in the syringe. The improper storage and cleaning practices were directly observed and confirmed through staff interviews.