Failure to Label Urinal Results in Infection Control Deficiency
Penalty
Summary
A deficiency was identified when a resident who was incontinent of bladder did not have their urinal bottle labeled with their name and room number. During an observation, it was noted that the urinal in the resident's room lacked proper identification. Interviews with both a Licensed Vocational Nurse and the Director of Nursing confirmed that urinals should be labeled to prevent switching between residents, especially in semi-private rooms. The facility's infection control policy also requires such measures to prevent cross-contamination and infection. The resident involved had a medical history including acute pyelonephritis, benign prostatic hyperplasia, type 2 diabetes mellitus with chronic kidney disease, and was admitted and readmitted to the facility. The resident was cognitively intact and required supervision for activities of daily living. The care plan for the resident included a goal to remain free from infection. The failure to label the urinal was identified through observation, interview, and record review, and was found to be inconsistent with the facility's infection control policies and procedures.