Improper Placement of Nephrostomy Catheter Collection Bag
Penalty
No penalty information released
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Summary
A nephrostomy catheter collection bag for Resident 28 was observed placed on the bed beside the resident's head, positioned higher than the level of the bladder, while the resident was lying upright in bed. The collection bag contained yellowish urine-like liquid. The resident had contractures in both hands, rendering her unable to lift or move objects. During the observation, an LVN confirmed that the catheter bag should be placed lower than the bladder. The resident's care plan indicated monitoring of the nephrostomy drain and its site, and the facility's policy specified that collection bags must always be kept below the level of the bladder, including during transport.