Failure to Document and Specify Colostomy Appliance Details
Penalty
Summary
The facility failed to provide colostomy care and services consistent with professional standards of practice for one resident. Facility policy required the use of an appropriate pouching system based on stoma type, output, and skin sensitivity, with documentation of stoma type, pouching, and wafer system size in the medical record. Review of the resident's clinical record showed a diagnosis of colostomy, with physician orders to change the colostomy skin barrier appliance every three days and as needed, but the order did not specify the size and type of appliance to be used. Additionally, the resident's care plan did not include the size and type of colostomy appliance. The Director of Nursing confirmed these omissions during an interview.