Improper Incontinent Care Technique by CNA
Penalty
Summary
Certified Nursing Assistant (CNA) C failed to use the correct technique while providing incontinent care to Resident #4, as observed during care. Specifically, CNA C was seen wiping the resident's buttocks in a back to front motion, contrary to the facility's policy and standard infection control practices, which require wiping from front to back. CNA C confirmed during an interview that she believed she was using the correct technique and stated she had received training on incontinent care from the facility. The Director of Nursing (DON) confirmed that the correct method is front to back to prevent contamination and that staff receive annual training and skills checks. Resident #4 had a history of traumatic brain injury, dysphagia, hypertension, and congenital hydrocephalus, and was frequently incontinent of bowel and bladder, requiring assistance with care. The resident's care plan included frequent checks for wetness and soiling, with changes as needed. Despite passing a competency check for perineal care earlier in the year, CNA C did not demonstrate the required skill during the observed incident. Facility policy and staff competency requirements were reviewed and confirmed to specify the correct technique.