Failure to Secure Catheter Tubing, Cover Drainage Bag, and Document Output
Penalty
Summary
The facility failed to provide appropriate care for a resident with an indwelling urinary catheter by not securing the catheter tubing to the lower extremity, not covering the urinary collection bag with a dignity cover, and not consistently documenting urinary output every shift as ordered by the physician. Multiple observations confirmed that the catheter tubing was left dangling from the bedside and the urinary collection bag was uncovered and exposed to the hallway. Staff interviews corroborated these findings, and it was confirmed that the facility's policy requires the use of a securement device for the catheter tubing, covering the drainage bag, and recording urinary output every shift. Record review showed that the resident had physician orders for catheter care, including weekly changes of the securement device and documentation of urinary output every shift. However, the resident's output tracker revealed inconsistent documentation, with only one day showing output recorded for all three shifts. The facility's catheter care policy also mandates the use of privacy bags for drainage bags and proper securement of tubing, which was not followed in this case.