Failure to Follow Enhanced Barrier Precautions During High-Contact Care
Penalty
Summary
Staff failed to follow the facility's Enhanced Barrier Precautions (EBP) policy during high-contact care activities for a resident with multiple medical conditions, including a prosthetic heart valve, colostomy, stroke, type 2 diabetes, and a history of infectious diseases. The resident's care plan included an intervention for EBP, and signage on the resident's door indicated the need for these precautions. Despite this, during an observed transfer using a sit-to-stand lift, two CNAs did not don the required personal protective equipment (PPE), such as gowns and gloves, while dressing and transferring the resident. Following the transfer, one CNA acknowledged that both staff members should have worn PPE in accordance with EBP requirements. The DON later confirmed that staff are expected to use gowns and gloves for high-contact care with residents on EBP. The deficiency was identified through observation, staff interviews, and record review, demonstrating a failure to implement the infection prevention and control program as outlined in facility policy.