Failure to Provide Privacy and Dignity for Resident with Urinary Catheter
Penalty
Summary
A deficiency was identified when a resident with a history of a displaced left hip fracture and diabetes mellitus was observed with an uncovered urinary catheter collection bag. The resident had a physician's order for an external condom catheter due to urinary retention. During an observation, the urinary collection bag was found to be uncovered and visible to anyone entering the room, containing approximately 200 cc of yellow urine. Certified nursing assistant 1 (CNA 1) confirmed that the collection bag was not covered and acknowledged that it should have been, stating that a dignity bag is used to provide privacy and promote dignity for the resident. Further interviews with the Director of Staff Development (DSD) and the Director of Nursing (DON) confirmed that facility policy requires all urinary catheter collection bags to be covered with dignity bags, regardless of the resident's alertness, to maintain privacy and dignity. The facility's policy on dignity, dated 2001, also states that staff are to promote, maintain, and protect privacy. The failure to cover the urinary catheter collection bag resulted in a lack of privacy and dignity for the resident.