Failure to Ensure Staff Use Required PPE for Transmission Based Precautions
Penalty
Summary
Staff failed to use appropriate Personal Protective Equipment (PPE) when entering rooms placed on Transmission Based Precautions (TBP). Specifically, a housekeeper entered a TBP room without wearing the required eye protection while cleaning, despite a sign at the entrance instructing all visitors to wear eye protection. Additionally, a certified nursing assistant entered another TBP room and interacted with a resident without wearing eye protection, as directed by the posted signage. During interviews, the certified nursing assistant stated she forgot to put on eye protection before entering the TBP room. The housekeeper reported not wearing eye protection because he believed the facility had run out of the necessary supply. The Director of Nursing confirmed that staff should have worn the correct PPE, including eye protection, in accordance with the facility's policy, which requires personnel to use eye protection upon entry to a resident's room under TBP.