Failure to Properly Store Nebulizer Equipment for Two Residents
Penalty
Summary
The facility failed to provide appropriate respiratory care for two residents who required nebulizer treatments. According to facility policy, nebulizer equipment must be completely dry and stored in a plastic bag when not in use. However, during observations, both residents' nebulizer machines and mouthpieces were found on their bedside tables, not stored in bags as required. This was confirmed by a Licensed Practical Nurse, who acknowledged that the equipment was not properly stored when not in use. Resident R30 had diagnoses including high blood pressure, atrial fibrillation, and asthma, and had a physician's order for albuterol sulfate nebulization as needed for shortness of breath. Resident R38 had diagnoses of high blood pressure, anxiety, and hypothyroidism, with a physician's order for ipratropium-albuterol inhalation solution as needed for wheezing. Despite these orders and the residents' medical needs, the facility did not adhere to its own policy for safe and appropriate respiratory care, as evidenced by the improper storage of nebulizer equipment.