Failure to Implement Effective Infection Control Practices During Medication Administration
Penalty
Summary
Surveyors observed multiple failures in the facility's infection prevention and control practices during medication administration and resident care. One staff member was seen extracting insulin with a safety sheath syringe, then placing the unsheathed needle on various surfaces, including a mouse pad and a medication blister card, before entering a resident's room. The same staff member placed the unsheathed syringe, along with a cup of water and a glucometer, directly on a resident's over bed table without using a barrier. These actions were confirmed by the staff member when questioned. Another staff member was observed with natural fingernails extending approximately half an inch past the fingertips, which is contrary to facility policy and CDC guidance. This staff member administered multiple medications, including eye drops, to a resident without performing hand hygiene or donning gloves. The staff member acknowledged not using hand sanitizer and not wearing gloves during the administration of eye drops. Additionally, a unit manager was observed with similarly long, painted fingernails, further indicating non-compliance with infection control standards. The Director of Nursing confirmed that hand hygiene is required before and after glove use and during medication administration, but was uncertain about the specific policy on fingernail length. Review of the facility's employee handbook and infection prevention policy revealed requirements for short, clean fingernails and no artificial nails, as well as comprehensive infection control measures. CDC guidance also emphasizes the importance of hand hygiene and maintaining short natural nails to prevent the spread of infection.