Failure to Perform Hand Hygiene During Medication Administration
Penalty
Summary
During medication administration, a Licensed Practical Nurse (LPN) failed to perform proper hand hygiene between glove changes while preparing and administering medications to two residents. Specifically, the LPN put on gloves to prepare medication for one resident, removed the gloves, donned new gloves without washing her hands, and administered the medication. After removing gloves and using hand sanitizer, the LPN again put on new gloves to prepare medication for another resident, changed gloves, and administered the medication without washing hands between glove changes. The LPN confirmed in an interview that hand washing was not performed between glove changes during these medication passes. This deficiency was identified through direct observation and staff interview, affecting two of six residents observed for medication administration.