Catheter Drainage Bag Found Touching Floor
Penalty
Summary
A deficiency was identified when a urinary catheter drainage bag for one resident was observed touching the floor during a survey. The resident in question had multiple significant medical diagnoses, including multiple sclerosis, bladder cancer, and an infection with an antibiotic-resistant organism. The resident required varying levels of assistance with activities of daily living and was assessed as high risk for urinary tract infection. Physician orders were in place for regular catheter and catheter bag changes, and facility policy required that drainage bags be kept off the floor. During the survey, a Licensed Vocational Nurse acknowledged that the urine bag was touching the floor and recognized this as a potential infection control issue. A Registered Nurse confirmed the resident's high risk for UTI and stated that staff should ensure the urine bag, including any dignity bag, does not touch the floor. The Director of Nursing also stated that the urine bag should be kept off the floor for infection control. Review of facility policies for both CNAs and charge nurses indicated that keeping drainage bags off the floor is a required infection control practice.