Failure to Implement Enhanced Barrier Precautions for Resident with PICC Line and Wounds
Penalty
Summary
The facility failed to implement enhanced barrier precautions for a resident who had a peripherally inserted central catheter (PICC) line and multiple wounds. According to the facility's policy, transmission-based precautions should be initiated for residents with signs or symptoms of infection, laboratory-confirmed infection, or those at risk of transmitting infection. The policy also requires appropriate signage on the resident's door and chart to inform staff and visitors of the necessary precautions, as well as instructions for the use of personal protective equipment (PPE). A review of the resident's clinical record showed the presence of a PICC line and multiple wounds, with a care plan in place for enhanced barrier precautions. However, during an interview and observation with the Director of Nursing, it was confirmed that there was no enhanced barrier precaution signage on the resident's door, and gowns were not readily available outside the room. This failure to follow established infection prevention protocols was identified during the survey.