Failure to Maintain Resident Dignity by Leaving Catheter Bag Uncovered
Penalty
Summary
A deficiency was identified when a resident's urinary catheter collection bag was observed hanging uncovered on the left side of the bed, containing 300 milliliters of yellow fluid, with a towel placed underneath on the floor. The resident reported that the urine bag had not been covered, expressing embarrassment that it was visible to anyone entering or passing by the room. This observation was confirmed during an interview, and the resident's medical record indicated a history of urinary retention and other medical conditions requiring the use of an indwelling urinary catheter. The facility's Director of Nursing stated that all Foley catheter bags should have a dignity cover. Review of the facility's catheter care policy indicated that dignity should be maintained and catheter coverings are not required only when drainage bags are out of public sight or per resident preference. The facility's resident rights policy also emphasized the right to a dignified existence and to be treated with respect. In this case, the resident's dignity was not maintained as the catheter bag was left uncovered and visible, contrary to both facility policy and the resident's expressed wishes.