Failure to Maintain Proper Catheter Care and Bag Placement
Penalty
Summary
The facility failed to ensure that a resident with an indwelling urinary catheter received appropriate care and services as required by facility policy and CDC guidelines. During an observation, the resident's urinary drainage bag and tubing were found touching the floor, and the drainage bag was not placed inside a dignity bag as specified in the facility's catheter care policy. The policy requires catheter care to be performed every shift, with privacy bags available and drainage bags covered at all times. The CDC guideline also states that urine collection bags should not rest on the floor. The deficiency was confirmed through observation, staff interview, and review of the resident's medical record and facility policies. The LVN present acknowledged that the drainage bag and tubing should not be touching the floor and should be inside a dignity bag. The DON also verified the findings, noting that although the resident was on a low bed, there should have been a measure in place to prevent the drainage bag from contacting the floor. The resident had an order for an indwelling urinary catheter due to obstructive uropathy.