Failure to Follow Infection Control Procedures During Wound Care
Penalty
Summary
A deficiency was identified when a Licensed Practical Nurse (LPN) failed to follow infection control policies and procedures during wound care for a resident. The LPN entered the resident's room and placed wound care supplies on a sterile field, but then placed a pair of scissors from their scrub pocket onto the bedside table without disinfecting them. The LPN used these unclean scissors to remove and cut dressings for wounds on both the right great toe and the left plantar foot. The scissors were placed back onto the bedside table with other wound care supplies after each use, without being cleaned or disinfected between uses. Additionally, the LPN did not change gloves between removing the old dressing and applying the new dressing for both wounds. These actions were observed and later confirmed in an interview with the LPN. Review of the facility's wound care policy and CDC guidelines indicated that the LPN did not adhere to required aseptic techniques, including proper glove changes and disinfection of equipment between uses.