Failure to Follow Enhanced Barrier Precautions During Catheter Care
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
A deficiency occurred when the Unit Manager (UM) failed to follow Enhanced Barrier Precautions (EBP) while providing care to a resident with an indwelling urinary catheter. During an observed care activity, the UM wore gloves but did not don a gown as required by the facility's EBP policy, despite a visible EBP sign and available PPE supplies outside the resident's room. The resident had multiple diagnoses, including neurogenic bladder and an indwelling catheter, and a current physician's order specified the need for both gown and gloves during high-contact care. The UM later acknowledged not wearing a gown during the procedure, which was inconsistent with the facility's policy for residents with indwelling medical devices.