Failure to Properly Disinfect Glucometers per Policy and Manufacturer Guidelines
Penalty
Summary
The facility failed to maintain a safe and sanitary environment in relation to infection prevention and control practices for glucometer disinfection on one of five nursing units. According to the facility's policy, glucometers should be disinfected using manufacturer-approved EPA-registered disinfectant wipes or a 70% isopropyl alcohol swab. However, a review of the manufacturer's guidelines indicated that while cleaning with soap and water or isopropyl alcohol is possible, these methods do not disinfect the meter. The manufacturer's guidelines referenced CDC recommendations for blood glucose monitoring safety. During staff interviews, a registered nurse described her process of wiping down the glucometer with alcohol wipes after use and before storing it in the medication cart. The nurse acknowledged, upon questioning, that using only alcohol wipes does not meet the disinfection requirement. The nursing home administrator confirmed that staff are expected to follow both facility policy and CDC guidelines for disinfection. These findings demonstrate that the facility did not ensure proper disinfection of glucometers as required by policy and manufacturer/CDC guidelines.