Failure to Provide Privacy for Catheter Collection Bag
Penalty
Summary
Facility staff failed to promote the dignity of a resident with urinary retention who had an indwelling catheter. On two separate occasions, surveyors observed the resident's catheter collection bag hanging uncovered on the lower portion of the bed, with the contents clearly visible. The resident was alert with some forgetfulness, as documented in the facility's clinical admission assessment. The physician's order specified the use of an indwelling catheter with straight drainage due to urinary retention. During an interview, the resident expressed discomfort and stated that it bothered him that anyone entering the room could see the urine in the collection bag. The facility's policy on resident rights requires that each resident be treated with respect and dignity, and that care be provided in a manner that promotes or enhances quality of life. Despite this policy, the lack of privacy for the catheter collection bag was not addressed prior to the survey exit.