Failure to Maintain Proper Catheter Bag Storage and Dignity
Penalty
Summary
A resident with chronic kidney disease, muscle weakness, and urinary retention was admitted to the facility and required the use of an indwelling urinary catheter for bladder elimination. The resident's care plan specified that the catheter drainage bag should not touch the floor and should be stored inside a dignity bag holder on the bed or wheelchair, with catheter care to be provided every shift. Despite these documented interventions, multiple observations by the surveyor on the same day found the resident's catheter bag uncovered and either resting on the floor next to the bed or hanging on the bed, with varying amounts of urine present. The Director of Nursing confirmed that catheter drainage bags should be covered for dignity purposes and was unable to provide additional information regarding the observed deficiencies.