Failure to Provide Dignity Cover for Urinary Drainage Bag
Penalty
Summary
A deficiency was identified when the facility failed to provide a dignity cover for a urinary drainage bag for a resident with a suprapubic catheter. The resident, who had severe cognitive impairment, a history of urinary retention, an unstageable pressure ulcer, and was receiving hospice services, was observed on multiple occasions lying in bed with the urinary drainage bag visible and uncovered. The bag was seen by anyone entering the room and was even visible from the hallway. Interviews confirmed that staff were aware a dignity cover should have been used, but it was not in place during the observations. Record review showed that the resident had a physician's order for catheter care, including the use of a leg bag when out of bed and a urinary drainage bag when in bed. The care plan included interventions for catheter management but did not specifically address the use of a dignity cover. The facility's policy on indwelling catheter use did not mention dignity covers for resident comfort. The lack of a dignity cover for the urinary drainage bag resulted in a failure to honor the resident's right to be treated with respect and dignity.