Failure to Maintain Proper Catheter Care and Infection Control
Penalty
Summary
A deficiency was identified when a resident with a Foley catheter was observed lying in bed with the catheter and urine visible from the hallway. The bottom of the catheter collection bag and the blue tubing were noted to be touching the floor, contrary to the facility's Urinary/Catheter Care Policy, which specifies that drainage bags should not touch the floor. Additionally, the catheter collection bag was not placed in a dignity bag as required. The Director of Nursing confirmed these findings during the surveyor's visit to the resident's room. The resident had a significant medical history, including multiple hospital admissions for sepsis, urinary tract infection, and bacteremia. The most recent hospitalization involved the placement of a Foley catheter and treatment for a pseudomonas UTI. Upon return to the facility, the Foley catheter was not changed, and the improper handling of the catheter and drainage bag was observed, increasing the risk of infection as documented in the facility's policy.