Failure to Follow Enhanced Barrier Precautions During Catheter Care
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by staff not following proper procedures for a resident on enhanced barrier precautions (EBP). Specifically, a certified nurse aide (CNA) was observed emptying a resident's catheter bag without donning gloves or a gown, contrary to both CDC guidance and the facility's own catheter care policy. The resident in question had a catheter and was on EBP, which requires the use of personal protective equipment (PPE) such as gloves and gowns during high-contact care activities. Interviews with staff revealed gaps in training and adherence to infection control protocols. One CNA reported not having received catheter care training at the facility, though she was aware that gloves and a gown should be worn when emptying catheter bags. Both the infection preventionist (IP) and the director of nursing (DON) confirmed that EBP should be followed for residents with catheters, including the use of appropriate PPE during catheter care. The failure to use PPE as required was acknowledged as improper by facility leadership.