Failure to Implement Enhanced Barrier Precautions and PPE Use
Penalty
Summary
Staff B, LPN, prepared and administered medication and enteral feeding to Resident #444 without wearing the required personal protective equipment (PPE), including gown, gloves, and mask, despite physician orders for Enhanced Barrier Precautions (EBP) dated 6/20/2025. The LPN also performed an intravenous flush of the resident's PICC access device without appropriate PPE. Observation of the resident's room revealed there was no signage indicating the need for EBP. During interviews, the LPN stated that they rely on door signage to determine isolation requirements and were unaware of the need for EBP or the appropriate PPE to use, as there was no signage present. The Director of Nursing confirmed that staff are expected to follow orders and wear the appropriate PPE.