Failure to Perform Hand Hygiene During Incontinence Care
Penalty
Summary
A Certified Nursing Assistant (CNA) failed to follow proper hand hygiene protocols during incontinence care for a resident. Specifically, after cleaning the resident's perineal area and removing a soiled brief, the CNA did not sanitize her hands or apply clean gloves before proceeding to put on a clean brief. Additionally, the CNA used soiled gloves to obtain more disposable wipes from a multi-use package multiple times during the care process, and placed the package of wipes on the resident's bed. Interviews with the CNA, the Director of Nursing (DON), and the Administrator confirmed that the CNA should have removed soiled gloves, performed hand hygiene, and donned clean gloves before applying a clean brief. They also acknowledged that obtaining wipes from a multi-use package with soiled gloves was not in accordance with facility policy and infection prevention procedures.