Improper Storage of Enteral Feeding Syringe
Penalty
Summary
A deficiency was identified when a plastic 60 cc syringe used for enteral feeding, medication, and water flushes for a resident with a gastrostomy tube was observed to be improperly stored. The syringe, after use, was rinsed and placed back into its original bag with the plunger still inside the barrel, and water droplets were visible inside the bag. This method of storage did not follow facility policy, which requires the barrel and plunger to be separated after rinsing to prevent bacterial growth. The resident involved had a history of dysphagia following a stroke and was severely cognitively impaired, requiring a gastrostomy tube for nutrition, hydration, and medication administration. Staff interviews confirmed that the nurse responsible for the syringe did not separate the components after use, despite being aware of the correct procedure. The facility's Infection Preventionist and Administrator both acknowledged that the syringe should have been stored with the barrel and plunger separated to prevent potential bacterial contamination.