Failure to Maintain Dignity and Proper Management of Urinary Leg Bags
Penalty
Summary
The facility failed to implement appropriate interventions to maintain a dignified appearance for a resident with indwelling nephrostomy tubes and urinary leg bags. The resident, who had moderate cognitive impairment and required assistance with activities of daily living, was observed with a urinary leg bag dragging on the floor as he self-propelled his wheelchair. Staff were aware of the issue but did not immediately secure the bag, and the care plan lacked specific instructions for managing and securing the nephrostomy bags. Certified nursing assistants reported that the straps provided for securing the bags were too large and ineffective, resulting in the bags sliding down and sometimes being visible or on the floor. Interviews with staff, including a CNA, LPN, clinical coordinator, and DON, confirmed that the leg bags were not being properly secured due to inadequate equipment and lack of clear guidance in the care plan and work lists. The facility's policy on indwelling catheter care did not address the management or securing of urinary drainage bags to ensure privacy and dignity. The deficiency was identified through observation, interview, and document review, highlighting the facility's failure to maintain the resident's dignity and prevent potential infection control issues.