Failure to Implement Enhanced Barrier Precautions During Wound Care
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
Facility staff failed to implement enhanced barrier precautions (EBP) during a wound dressing change for one resident who had a physician order for EBP. According to the facility's Transmission Based Precautions policy, EBP requires the use of gown and gloves during high-contact care activities for residents at increased risk, such as those with wounds or indwelling medical devices. During an observed dressing change, two LPNs did not don gowns and gloves as required. The resident involved confirmed that staff do not wear gowns during such procedures. This failure to follow established infection control protocols created the potential for cross contamination.