Failure to Implement Enhanced Barrier Precautions During Wound Care
Penalty
Summary
During a wound care observation, the Assistant Director of Nursing (ADON) was seen providing wound care to a resident with a history of diabetes mellitus and a foot ulcer without wearing a gown, as required by the facility's Enhanced Barrier Precautions (EBP) policy. There was no signage indicating that the resident was on EBP, despite the policy mandating the use of personal protective equipment (PPE) for residents colonized or infected with multidrug-resistant organisms (MDROs) in accordance with CDC guidance. The resident confirmed that staff did not wear gowns during wound care, and the ADON acknowledged not using EBP during the procedure. Additionally, the acting Director of Nursing (DON) stated they were unaware of the requirement to use EBP during wound care.