Failure to Follow Enhanced Barrier Precautions During Wound Care
Penalty
Summary
A deficiency was identified when a Licensed Practical Nurse (LPN) failed to follow proper infection control practices during wound care for a resident with chronic venous ulcers and other medical conditions, including congestive heart failure and diabetes mellitus. The resident had a physician's order and care plan in place for Enhanced Barrier Precautions (EBP) due to open wounds, which required the use of gowns and gloves during high-contact care activities such as wound care. Signage outside the resident's room indicated the need for EBP, and personal protective equipment (PPE) was available in a cart down the hall. During an observation of wound care, the LPN cleansed her hands and donned gloves but did not put on a gown as required by the EBP protocol. When questioned, the LPN confirmed that the resident was on EBP and acknowledged that she had not donned a gown prior to providing wound care. Review of the facility's policy confirmed that EBP, including the use of gowns, was indicated for residents with wounds. This failure to adhere to established infection control procedures constituted a deficiency as documented in the report.