Failure to Maintain Infection Control with Foley Catheter Care
Penalty
Summary
The facility failed to maintain a sanitary environment and adhere to infection prevention protocols for one resident with a Foley catheter. During an observation, a staff member was seen allowing the resident's Foley catheter drainage bag to touch the floor. The staff member acknowledged that the drainage bag should not be on the floor due to infection control concerns, a sentiment echoed by both a licensed nurse and the Director of Nursing, who confirmed that such practice increases the risk of infection. Review of the facility's policy also indicated that catheter tubing and drainage bags must be kept off the floor. Additionally, staff did not follow Enhanced Barrier Precautions (EBP) when handling the resident's Foley catheter. Despite signage indicating the resident was on EBP, a staff member handled the catheter drainage bag without wearing a gown, contrary to CDC guidelines and facility policy. Both the staff member and licensed nurse confirmed that gloves and gowns are required for such care activities to prevent cross-contamination. The Director of Nursing verified that the facility follows CDC EBP guidelines, which mandate the use of gloves and gowns during high-contact care activities involving urinary catheters.