Failure to Follow Enhanced Barrier Precautions During Incontinent Care
Penalty
Summary
A deficiency was identified when a certified nursing aide (CNA) failed to follow the facility's infection prevention and control policy while providing care to a resident on Enhanced Barrier Precautions (EBP). The resident had multiple diagnoses, including a stage 3 pressure ulcer, was always incontinent of bowel and bladder, and required substantial to maximal assistance with toileting hygiene. Facility policy required staff to wear appropriate personal protective equipment (PPE), including gowns and gloves, when providing care to residents on EBP to prevent exposure to potentially infectious materials. During an observation, the CNA was seen providing incontinent care to the resident without wearing a protective gown, contrary to facility policy and the resident's EBP order. The CNA confirmed in an interview that she did not wear a gown and acknowledged that she should have done so. The Director of Nursing (DON) also confirmed that the expectation was for staff to wear gowns and gloves during such care for residents on EBP.