Failure to Properly Store CPAP Masks According to Infection Control Policy
Penalty
Summary
The facility failed to store continuous positive airway pressure (CPAP) masks in accordance with its infection prevention and control policy for two residents who required respiratory care. Observations revealed that both residents' CPAP masks and tubing were left uncovered and placed directly on the surface of their dressers, rather than being stored in labeled bags as specified by facility policy. The policy required that CPAP equipment be stored in a bag labeled with the date and changed weekly to limit the spread of infection. Multiple staff interviews confirmed that the expectation was for CPAP masks to be cleaned and stored in bags after use, but this was not consistently done. Both residents involved had medical histories that included respiratory conditions such as obstructive sleep apnea, lung cancer, asthma, and shortness of breath, and were receiving CPAP therapy as ordered. Staff, including nurses and CNAs, acknowledged during interviews that the proper storage procedure was not followed, and there was confusion among staff regarding responsibility for ensuring the equipment was stored correctly. The Infection Preventionist and Director of Nursing confirmed that the observed storage practices did not align with infection control protocols, and the Administrator noted a lapse in staff adherence to the policy.