Failure to Follow Infection Control Practices During Resident Care and Insulin Administration
Penalty
Summary
Facility staff failed to implement infection control practices as required by facility policy and standard infection prevention protocols. During morning care for one resident, a CNA did not perform hand hygiene before handling clean clothing and supplies, nor after removing gloves following peri care, and proceeded to dress the resident with clean items. The CNA acknowledged during interview that hand hygiene should have been performed after glove removal and before touching clean items. The Director of Nursing confirmed that the expectation is for staff to perform hand hygiene when entering resident rooms for care and after removing gloves following peri care. Additionally, a registered nurse was observed preparing and administering insulin to a resident using two different insulin pens without sanitizing the rubber caps with an antimicrobial agent prior to attaching the needle, as required by facility policy. The nurse admitted to forgetting this step and acknowledged the requirement to sanitize the rubber tips before administration. The Nursing Home Administrator confirmed that the facility policy mandates sanitizing the rubber caps before insulin administration.