Failure to Perform Hand Hygiene After Resident Care
Penalty
Summary
Staff H, a Certified Nursing Assistant, was observed performing hand hygiene and donning personal protective equipment (PPE) before providing catheter care to a resident. After completing the care, Staff H removed soiled gloves but did not perform hand hygiene before donning new gloves. Staff H then rearranged the resident's wheelchair, opened the door, and exited the room. Upon doffing PPE, Staff H again failed to perform hand hygiene and proceeded down the hall. The facility's Hand Hygiene policy, last updated in January 2025, requires hand hygiene to be performed in accordance with accepted standards of practice. During an interview, the Unit Manager confirmed that hand hygiene should have been performed between glove changes and after removing PPE.