Failure to Maintain Proper Positioning of Urinary Catheter Drainage Bag
Penalty
Summary
The facility failed to provide adequate catheter care for one resident who required an indwelling urinary catheter due to diagnoses including sepsis, hematuria, kidney failure, and urinary retention. According to the facility's urinary catheter care policy, the urinary drainage bag must always be positioned lower than the bladder and kept off the floor. However, observations revealed multiple instances where the resident's urinary drainage bag was either placed on the resident's lap or hooked to the arm of the wheelchair, both above the level of the bladder, and on other occasions, the drainage bag was observed on the floor while the resident was at the dining room table. These actions were not in accordance with the facility's policy and proper catheter care procedures.