Failure to Provide Mandatory EBP Training for Staff
Penalty
Summary
The facility failed to include mandatory training on Enhanced Barrier Precautions (EBP) as part of its infection prevention and control program for staff. During an observation, a certified nursing assistant (CNA) entered a resident's room with EBP signage and available personal protective equipment (PPE) but did not sanitize her hands or don a gown and gloves before providing activities of daily living (ADL) care. In an interview, the CNA admitted she did not know what EBP was, was unaware of the requirements, and had not received training on EBP at the facility. She was also unable to identify potential negative outcomes from not following EBP for at-risk residents. Further interviews revealed that the infection prevention (IP) nurse confirmed there was no documentation of staff training for EBP, and the business office manager, responsible for new hires, stated that no new employees had been trained or checked off on EBP. A review of the New Hire Orientation Checklist showed it did not address EBP, despite the facility's own EBP policy outlining the need for staff awareness and training on donning gowns and gloves during high-contact activities.