Improper Catheter Bag Placement During Resident Transfer
Penalty
No penalty information released
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Summary
During an observation, therapy staff were seen transferring a resident from a wheelchair to a stretcher. During this process, the resident's catheter bag was hooked to the transfer belt being used for the transfer. The transfer belt was positioned above the resident's waist, which prevented the catheter from draining properly. This improper placement of the catheter bag did not allow for adequate drainage, as required for appropriate catheter care and to help prevent urinary tract infections. The Director of Nursing confirmed that the catheter bag should have been kept below the waist to maintain proper flow.