Failure to Follow Enhanced Barrier Precautions for Resident with Indwelling Catheter
Penalty
Summary
The facility failed to maintain its Infection Control Program as required for residents on Enhanced Barrier Precautions (EBP). Specifically, a certified nursing assistant (CNA) was observed sitting on the bed of a resident who was on EBP due to having an indwelling catheter. The posted signage on the resident's room and the facility's policy both indicated that staff must wear personal protective equipment (PPE), including a gown and gloves, when providing care or having prolonged, high-contact with items in the resident's room, such as sitting on the bed. Despite these requirements, the CNA was not wearing the required PPE during the observed interaction. The resident's medical record confirmed the need for EBP due to the presence of a catheter. During interviews, both the CNA and a registered nurse (RN) acknowledged that the CNA was aware of the EBP requirements and the need for PPE when engaging in high-contact activities, such as sitting on the resident's bed. The RN also confirmed observing the CNA without PPE and discussed the incident with the CNA, who was unable to confirm if the linens had been recently changed. This sequence of events demonstrates a failure to adhere to established infection control protocols for residents on EBP.