Failure to Prevent Cross-Contamination in Laundry Handling
Penalty
Summary
The facility failed to properly handle and process soiled laundry in a manner that would prevent cross transmission or the spread of infection. During observation, soiled soaker pads and bed linens were found directly on the floor in front of a washing machine, rather than being contained in the designated bin. A staff member responsible for laundry services was observed entering the laundry area from the clean side, standing directly on the soiled linens and soaker pads, and admitting that this was her usual practice. She also reported not wearing a gown when sorting soiled laundry and did not clean or cover her shoes before delivering clean linens to resident rooms. The staff member stated that she mops the laundry room floor at the end of each day and cleans the bottom of her shoes by stepping on the mop, and she is the only person working in laundry each day. Review of the staff member's personnel file revealed a lack of a signed job description for the Laundry Services position and previous documented warnings for substandard work, including not mopping the laundry room and improper handling of soiled resident clothing. The facility's Laundry Protocol policy stated that soiled linens should be handled safely to avoid contamination but lacked specific guidance on the use of gowns, gloves, and containment of soiled laundry. The Standard Precautions policy outlined the use of personal protective equipment and safe handling of potentially infectious materials but did not appear to be consistently followed in practice, as evidenced by the staff member's actions and statements.