Lack of Physician Orders for Indwelling Urinary Catheter
Penalty
No penalty information released
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Summary
A deficiency was identified when a resident admitted with an indwelling urinary catheter did not have any physician's orders documented for the use, care, or maintenance of the catheter. During medical record review, it was confirmed that there were no orders present for the indwelling urinary catheter, despite the resident being observed with a urinary drainage bag in place. An LVN verified the absence of these orders and stated that catheter care should be performed every shift and documented in the Treatment Administration Record (TAR). The Director of Nursing also acknowledged that the resident was admitted with the catheter and confirmed the lack of corresponding physician's orders.