Failure to Implement Enhanced Barrier Precautions for Resident with Indwelling Catheter
Penalty
Summary
The facility failed to maintain proper infection control practices for a resident who had an indwelling urinary catheter, a condition that requires Enhanced Barrier Precautions (EBP) according to facility policy. During an observation, a Physical Therapy Assistant (PTA) transferred the resident without wearing a gown, despite being in close contact and being aware that EBP was required for residents with indwelling catheters. The PTA confirmed during an interview that a gown should have been worn during the care activity. Additionally, there was no signage outside the resident's room to indicate that EBP was in place, as required by the facility's policy. The Infection Preventionist Nurse confirmed the absence of signage and acknowledged that residents with indwelling catheters should have EBP signage to inform staff of the necessary precautions. The Director of Nursing also stated that EBP was expected for residents with indwelling catheters to prevent the spread of infection.