Failure to Monitor and Document Laundry Equipment Temperatures for Infection Control
Penalty
Summary
The facility failed to implement effective infection control measures in its laundry operations by not adhering to its own policies regarding the monitoring and documentation of laundry equipment temperatures. Observations and interviews revealed that laundry staff were unsure of the correct water and dryer temperature ranges, did not consistently document temperatures, and were unclear about the type of laundry machines in use. The Water Temperature Log showed uniform entries of 140°F, but staff could not confirm the source of this figure, and the thermometer above the washers indicated 120°F. Additionally, dryer temperatures were measured at 120°F and 122°F, which staff believed to be below the required range. There was also confusion among staff and supervisors regarding the correct temperature standards, with multiple, conflicting policies in place for both washer and dryer temperatures. Record reviews confirmed that the facility had several different policies outlining acceptable temperature ranges for washers and dryers, but these were not uniformly communicated or followed by staff. The Infection Preventionist Nurse acknowledged the existence of three different policies and the lack of a clear, unified procedure. The contracted laundry machine service representative clarified that the washers were designed for low-temperature operation with chlorine, but emphasized the need for the facility to follow its own policy. The Director of Nursing also stated the importance of clear policies and proper monitoring. This lack of consistent monitoring and documentation of laundry equipment temperatures compromised the facility's infection control practices.