Sharps Containers Overfilled Due to Lack of Monitoring Process
Penalty
Summary
Sharps containers in two resident rooms were observed to be filled above the designated fill line, as indicated by the warning label on the containers. During observations, the overfilled containers caused the lids to malfunction, with sharps instruments catching on the lid and protruding toward the opening, creating a potential hazard. The containers were not dated consistently, and the issue was noted during multiple observations by surveyors. Staff interviews revealed that there was no clear assignment of responsibility for monitoring or emptying sharps containers, with both nursing and environmental services staff stating they would empty the containers if they noticed they were full. However, there was no established process or department designated to regularly check and replace the containers when full. Staff members, including a registered nurse and the Environmental Services Supervisor, acknowledged that the containers should be emptied at the fill line but confirmed that no specific protocol or department was responsible for this task. The Director of Nursing also stated the expectation that staff would change the containers when they reached the full line. The lack of a defined process led to the containers being overfilled, as observed by surveyors, and placed residents, visitors, and staff at risk for injury and exposure.