Deficient Infection Control in Catheter and Incontinence Care
Penalty
Summary
A deficiency was identified when a male resident with neuromuscular dysfunction of the bladder and an indwelling Foley catheter was observed lying in bed with his catheter bag, contained in a privacy bag, touching the floor. The resident's care plan specified that the catheter bag and tubing should be kept below the level of the bladder and off the floor. Both the RN and DON confirmed that the catheter bag should not have been on the floor, as this could lead to contamination and infection. Facility policy also required that catheter tubing and drainage bags be kept off the floor. Another deficiency was observed during incontinence care for a female resident with dementia and a need for assistance with personal care. During care, a CNA failed to wipe from front to back while cleaning the resident, which is necessary to prevent infection. The CNA acknowledged the error after the care was completed but did not correct it at the time. The resident's care plan required assistance with toileting, and the facility's infection control policy emphasized the importance of proper cleaning to prevent the spread of infection.