Improper Storage of Nebulizer Equipment
Penalty
Summary
A deficiency was identified when a resident's nebulizer mask and tubing were found improperly stored inside a bedside nightstand drawer, mixed with personal items, and not dated. The resident, who had been living in the facility for over a year, was alert and oriented, and reported periodic use of nebulization treatments. Observation confirmed that the nebulizer equipment was not stored according to infection control protocols. The LPN acknowledged that the storage was improper upon inspection. Further review revealed that the facility's policy required nebulizer masks and tubing to be changed at least every three days, dated when changed, and stored in a clean, clear plastic bag to prevent contamination. The DON confirmed these requirements during an interview. The resident's medical history included chronic respiratory conditions such as malignant neoplasm of the lung and COPD, and physician orders documented regular and as-needed nebulizer treatments. Medication administration records showed the treatments were being given as ordered, but the storage and dating of the equipment did not comply with facility policy.