Improper Positioning of Foley Catheter Drainage Bag
Penalty
Summary
A deficiency was identified when a resident with a history of urinary retention had a physician's order for a Foley catheter with bedside straight drainage. The facility's policy and CDC guidelines require that the catheter drainage bag be kept below the level of the bladder to prevent urine backflow and reduce the risk of urinary tract infections. However, during multiple observations, the resident was seen seated in a Geri chair with the Foley bag containing urine placed on their lap, above the level of the bladder. Record review confirmed the catheter care policy, which specifically instructs staff to ensure the drainage bag remains below the bladder. The issue was discussed with the unit manager, who confirmed the deficiency. No additional evidence was provided to refute the findings by the end of the survey.