Failure to Follow Hand Hygiene and Enhanced Barrier Precautions During Resident Care
Penalty
Summary
Staff failed to comply with established infection prevention and control protocols, specifically regarding hand hygiene and Enhanced Barrier Precautions (EBP). During medication administration, two LPNs were observed not performing hand hygiene between residents, despite facility policy requiring hand hygiene before and after glove use, between resident contacts, and before handling medications. Both LPNs acknowledged not following the required hand hygiene procedures during their medication passes. Additionally, two CNAs were observed providing care to a resident in a room marked for EBP without performing hand hygiene before donning or after removing gloves, and without wearing the required gown. The CNAs assisted a resident who was incontinent and had pressure ulcers, and they were unaware of the EBP signage on the room door. Both confirmed they did not follow the hand hygiene protocol during the care provided.