Failure to Provide Privacy During Catheter Assessment
Penalty
Summary
Nurse #2 failed to provide personal privacy for a resident with severe cognitive impairment and an indwelling urinary catheter during a catheter assessment. The nurse entered the resident's room, applied gloves, and proceeded to pull up the resident's gown and pull down his brief to assess the catheter insertion site without closing the door or pulling the privacy curtain. As a result, the resident's bare stomach and penis were visible from the hallway, and staff were observed passing by the open door during the assessment. Prior to this, a nurse aide had performed catheter care for the same resident, closing the door but not pulling the privacy curtain. The resident was in the bed closest to the door, with a roommate present whose privacy curtain was closed. After noticing bloody urine in the catheter tubing, the nurse aide informed Nurse #2, who then entered the room and conducted the assessment without ensuring privacy, leading to the resident's exposure.