Failure to Ensure Privacy for Residents with Indwelling Catheters
Penalty
Summary
Surveyors identified that two residents were not treated in a dignified manner due to the facility's failure to ensure privacy for residents with indwelling urinary catheters. One resident, admitted with multiple diagnoses including surgical aftercare, chronic kidney disease, and lymphoma, was observed with a visible urinary catheter collection bag containing clear yellow urine that could be seen from the hallway. The resident's medical orders specified that the urinary drainage bag should have a cover over it every shift, but no privacy bag was present in the room at the time of observation. An LPN confirmed that the catheter bag was not contained in a privacy bag and was visible from the hallway. Another resident, with a history of acute transverse myelitis, quadriplegia, and other chronic conditions, was observed mobilizing in a power wheelchair with the indwelling urinary catheter collection bag resting on the footrest, uncovered and visible while moving down the hallway. This resident's physician orders also required a privacy cover for the urinary drainage bag every shift. An LPN verified that the catheter bag was not contained in a privacy bag and urine was visible as the resident moved through the hallway. These observations demonstrated the facility's failure to maintain resident dignity as required by their care plans and physician orders.