Uncovered Peri Wash Solution on Linen Carts Breaches Infection Control
Penalty
Summary
The facility failed to maintain proper infection prevention and control practices regarding the storage of peri wash solution on clean linen carts. During observations, both clean linen carts were found with uncovered pails of peri wash solution. Staff interviews confirmed that the solution is used for perineal care during incontinent care, and that facility policy requires the solution to be kept covered when not in use to prevent contamination. Multiple staff members, including CNAs and an LVN, acknowledged that the solution should be covered to avoid cross contamination and the spread of germs and bacteria. Further interviews with the Assistant Administrator, DON, and Administrator confirmed awareness of the practice and the expectation that the peri wash solution be covered when not in use. Facility policies reviewed also indicated that standard precautions should be followed to prevent the spread of infection, and that perineal care should be provided in a manner that promotes cleanliness and prevents infection. The failure to keep the peri wash solution covered on the linen carts was directly observed and acknowledged by staff and leadership as contrary to facility policy and infection control standards.