Failure to Follow Enhanced Barrier Precautions During PEG Tube Medication Administration
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
A deficiency occurred when a Licensed Practical Nurse (LPN) failed to follow the facility's Enhanced Barrier Precautions (EBP) policy while providing care to a resident with a percutaneous endoscopic gastrostomy (PEG) tube. The resident, who had a history of acute gastrojejunal ulcer with perforation and a gastrostomy, was on EBP due to the presence of an indwelling medical device. During medication administration via the PEG tube, the LPN performed hand hygiene and donned gloves but did not wear a gown as required by the facility's EBP policy. Both the LPN and the Director of Nursing (DON) acknowledged that a gown should have been worn during this high-contact care activity.