Failure to Use Enhanced Barrier Precautions During Peri Care
Penalty
Summary
A deficiency occurred when staff failed to follow Enhanced Barrier Precautions (EBP) during peri care for a resident with an indwelling catheter. The resident, who had a history of Parkinson's disease, coronary artery disease, malnutrition, and a right femur neck fracture, required moderate to dependent assistance with activities of daily living and was care planned for EBP due to the presence of a catheter. The care plan specified that staff should use both gown and gloves during high-contact care activities, including dressing, hygiene, and device care. During an observation, a certified nurse aide was seen providing care to the resident while only wearing gloves and not a gown, as required by EBP protocols. The aide was preparing to complete peri care with the resident's brief open and a new brief nearby. After being interrupted and leaving to get a supervisor, the aide returned and donned both gloves and a gown to empty the catheter bag, but had to request additional supplies such as a graduate and alcohol wipes. The aide then completed catheter care, removed the protective equipment, and continued with dressing and transferring the resident without following the full EBP protocol throughout the care process.