Failure to Follow Infection Control Protocols During Resident Care
Penalty
Summary
The facility failed to maintain proper infection prevention and control practices during care for three residents. In one instance, a CNA assisted a resident with a transfer by touching the bedroom door with bare hands and then failed to sanitize or wash hands before donning gloves and providing care. The CNA acknowledged the door was considered dirty and that hand hygiene should have been performed prior to gloving and care. In another case, while providing catheter care to a resident with an indwelling catheter, a CNA picked up a catheter strap from the floor and used it on the resident, touched the bed and bed remote with gloved hands, and did not change gloves or sanitize hands before continuing care. Additionally, another CNA touched a gown before washing hands. Both CNAs confirmed they should have followed proper hand hygiene and not used items that had fallen to the floor. A third incident involved a CNA providing incontinent care to a resident. The CNA touched the privacy curtain with bare hands, then handled clean supplies without sanitizing hands or donning gloves, and subsequently touched the bed and bed remote with gloved hands before providing care, without changing gloves or sanitizing hands. The CNA admitted to forgetting proper procedures due to nervousness. In all cases, staff confirmed receiving infection control training within the year, and facility policy required hand hygiene before gloving and after contact with potentially contaminated surfaces.