Failure to Disinfect Glucometer Between Residents
Penalty
Summary
A deficiency occurred when an LVN failed to follow infection prevention and control protocols during blood glucose monitoring for two residents. The LVN used the same accu-check machine to check the blood glucose levels of both residents without wiping or sanitizing the device between uses. After checking the first resident, the LVN placed the machine inside the medication cart, then proceeded to use it on the second resident, and subsequently stored it in his uniform pocket and then in the medication cart, again without cleaning it. The LVN stated that in his previous employment, cleaning the device between residents was only done for those on contact isolation, and he had not received orientation at the current facility. He acknowledged awareness that wiping the device was intended to prevent infection. The two residents involved had significant medical histories, including diabetes, hypertension, chronic kidney disease, dementia, and other conditions that could increase their vulnerability to infection. The facility's infection prevention and control policy required all reusable equipment to be cleaned and disinfected according to established procedures. However, the LVN did not adhere to these protocols, as observed during the medication pass, and this lapse was confirmed through interviews and record review.