Soiled Linens Placed on Floor in Violation of Infection Control Policy
Penalty
Summary
A Certified Nurse Aide (CNA) failed to follow established infection prevention and control practices during incontinent care for a resident diagnosed with cerebral infarction. After providing perineal care, the CNA placed soiled linens directly on the floor of the resident's room without using a barrier or a linen bag, contrary to the facility's infection control policy. The policy requires that soiled linens be collected at the bedside, placed in a linen bag, and then transported to the soiled utility room to prevent the spread of infection. During an interview, the CNA acknowledged that placing soiled linens on the floor could lead to infection and cross-contamination. Both the facility's Infection Preventionist Nurse and the Director of Nursing confirmed that the proper procedure was not followed and that soiled linens should not come into contact with the floor. The resident involved was cognitively intact at the time of the incident, as indicated by a Brief Interview for Mental Status (BIMS) score of 14.