Infection Control Lapses During Catheter Care
Penalty
Summary
The facility failed to maintain proper infection control practices for one resident with a suprapubic catheter. During an observation of urinary catheter care, a nurse's shoe was seen touching the resident's urine drainage bag, and the drainage bag itself was observed resting on the floor. The nurse removed dirty gloves after cleaning the catheter surgical site and immediately donned clean gloves without performing hand hygiene in between. The nurse acknowledged both the improper placement of the drainage bag and the failure to perform hand hygiene. Review of facility policies confirmed that hand hygiene should be performed after glove removal and before donning new gloves, and that catheter tubing and drainage bags must be kept off the floor.