Failure to Provide Dignity Bag for Foley Catheter
Penalty
Summary
Resident #233, who was admitted with multiple complex medical conditions including a right leg amputation, stage four sacral pressure ulcer, diabetes mellitus type two, and cognitive impairment, was observed to have an indwelling foley catheter. The resident was dependent on staff for activities of daily living and had a care plan in place for catheter management, which included positioning the catheter bag and tubing below the bladder and away from the entrance room door, as well as monitoring for signs of infection and documenting intake and output. However, the care plan and facility policy did not address the use of a dignity bag to cover the catheter drainage bag. On two separate occasions, the resident's foley catheter drainage bag was observed uncovered and lying on the floor. This was confirmed by a CNA during an interview. The facility's catheter policy, revised recently, did not include any guidance on covering the catheter bag with a dignity bag to enhance the resident's privacy. This omission resulted in a failure to honor the resident's right to dignity and privacy as required.