Failure to Disinfect Mechanical Lift Between Resident Uses
Penalty
Summary
Staff failed to implement the facility's infection control policy by not disinfecting a mechanical lift between uses for two residents. On the observed date, Certified Nurse Aides (CNAs) transferred one resident from a wheelchair to a bed using a mechanical lift, then placed the lift outside the room without disinfecting it. Later, the same lift was used to transfer another resident without being disinfected beforehand. The lift was again placed in the hallway after use, still without being cleaned. Staff interviews revealed that disinfectant wipes (Saniwipes) were not available in resident rooms and were supposed to be stored either at the nurses' station or in storage pouches on the equipment, but none were found on the lift at the time of observation. Further interviews with staff indicated inconsistent practices regarding when and where reusable equipment was disinfected, with some staff stating that equipment was wiped down in the hallway after use or during the night, but not before being used for another resident. The Director of Nursing confirmed that staff were expected to disinfect the equipment between uses, but there was no specific written policy addressing the disinfection of reusable equipment such as mechanical lifts.