Failure to Maintain Catheter Drainage Bag Off Floor
Penalty
Summary
Surveyors observed that a resident's urinary catheter drainage bag was repeatedly found touching the floor during two separate observations on the same day while the resident was lying in bed. The resident had a history of chronic kidney disease and dementia, with moderate cognitive impairment and required assistance with daily activities. The care plan for the resident specified the goal of preventing urinary infections, and the facility's policy required that catheter tubing and drainage bags be kept off the floor. Interviews with staff, including a Licensed Vocational Nurse and the Infection Preventionist Nurse, confirmed that the drainage bag should not be on the floor due to infection control concerns. Both staff members acknowledged that the improper placement of the drainage bag was inappropriate and contrary to facility policy, and that all staff were responsible for ensuring proper catheter care. Review of the facility's policy and procedure further supported that catheter drainage bags must be kept off the floor.