Unsafe IV Pump Cord Placement Creates Accident Hazard
Penalty
Summary
A deficiency was identified when a resident was observed with an intravenous (IV) infusion pump positioned on the right side of their bed, while the IV site was on the resident's left arm. The electrical cord for the IV pump was extended across the bed, running under the resident, and plugged into an outlet on the left side of the bed. This setup created a potential accident hazard, as the cord was not safely managed and was positioned in a way that could cause harm to the resident. The assigned registered nurse acknowledged the unsafe positioning of the electrical cord and indicated that there were no electrical outlets available on the right side of the bed, which contributed to the improper setup. The resident involved had a history of chronic medical conditions, including a breakdown of a cardiac electronic device, chronic obstructive pulmonary disease, and emphysema. The resident was receiving IV antibiotics for influenza-like symptoms and was noted to be moderately cognitively impaired. The care plan indicated ongoing IV therapy through a mid-line in the left arm. The facility's policy required prompt investigation and reporting of accidents or incidents, but the unsafe environment was observed during the survey, indicating a failure to maintain a hazard-free area and provide adequate supervision to prevent accidents.