Failure to Follow Enhanced Barrier Precautions During Resident Care
Penalty
Summary
Staff failed to follow Enhanced Barrier Precautions (EBP) as required for a resident with a chronic wound. The resident, who had a diagnosis of chronic obstructive pulmonary disease and an active physician order for EBP due to a chronic wound, was observed receiving incontinence care from a Certified Nursing Assistant (CNA) who wore gloves but did not don a gown, despite clear signage outside the resident's room indicating the need for both gloves and a gown during high-contact care activities. The CNA confirmed during interview that he did not wear a gown while providing care, contrary to the posted EBP requirements. Facility policy and CDC guidance both specify that gloves and gowns must be worn during high-contact care for residents on EBP, particularly those with chronic wounds. Observations confirmed that the required EBP signage was present and visible outside the resident's room, outlining the need for gloves and gowns during specific care activities. Despite these clear instructions and policies, the staff member did not adhere to the EBP protocol during care provision.