Failure to Follow Infection Control Protocols for Catheter Care and Hand Hygiene
Penalty
Summary
A deficiency was identified when a urinary catheter bag belonging to a resident with multiple medical conditions, including a right femur fracture, acute kidney failure, and pressure ulcers, was observed lying on the floor beside the resident's bed. This was confirmed by a licensed nurse, who acknowledged that the catheter bag should not be on the floor, in accordance with the facility's catheter care policy, which requires that catheter tubing and drainage bags be kept off the floor. Additionally, a certified nursing assistant was observed delivering lunch trays to two residents and placing them on their bedside tables without offering hand hygiene before the residents began eating. The CNA acknowledged not providing hand hygiene, which was contrary to the facility's standard precautions policy that requires personnel to assist residents with hand hygiene before meals.