Failure to Label and Date Enteral Feeding Equipment
Penalty
Summary
The facility failed to ensure that the tubing, feeding bottle, and water bag used for enteral feeding were properly labeled and dated for a resident receiving tube feeding. During an observation, a resident was seen receiving Jevity 1.2 CAL tube feeding and water through an electronic pump system, but the Jevity bottle, water bag, and tubing were not labeled or dated. This was confirmed by an LVN, who acknowledged that these items should have been labeled with the date, time, and the resident's name. The Director of Nursing also confirmed that the facility's practice is to label these items with the resident's name, orders, date, and time they were opened. The resident involved had a medical history including dysphasia, encephalopathy, and a cervical spine fracture, and had physician orders for daily Jevity 1.2 tube feeding and daily changes of the enteral feeding bag and tubing. Product information for Jevity 1.2 CAL indicated it should be consumed within 24 hours, and facility procedures required labeling the container and administration set with the date and time it was first hung. The failure to label and date the feeding equipment was identified through observation, interview, and record review.