Failure to Implement Enhanced Barrier Precautions per Care Plan
Penalty
Summary
The facility failed to implement care plan interventions related to Enhanced Barrier Precautions (EBP) for one resident who required these precautions due to the presence of a feeding tube. The resident's care plan specifically included the use of EBP, such as wearing a protective gown during high-contact care activities like changing briefs. During an observation, a Certified Nursing Assistant (CNA) was seen providing perineal care to the resident without wearing a protective gown, contrary to the care plan's interventions. Upon interview, the CNA acknowledged that she did not wear a gown during peri care and admitted she forgot to do so, despite having received training on EBP. The Registered Nurse responsible for care planning confirmed that the CNA did not follow the comprehensive care plan and reiterated that staff are expected to adhere to the care plan interventions. The resident involved had a history of hemiplegia and hemiparesis following an unspecified cerebrovascular disease and had been admitted to the facility with these diagnoses.