Failure to Follow Enhanced Barrier Precautions During Catheter Care
Penalty
Summary
A deficiency occurred when a certified nursing assistant (CNA) failed to wear a gown while providing catheter care to a resident who was on Enhanced Barrier Precautions (EBP) due to the presence of an indwelling urinary catheter. The facility's policy required staff to use gowns and gloves during high-contact care activities for residents with indwelling medical devices, regardless of multidrug-resistant organism (MDRO) status. Observations confirmed that the CNA did not wear a gown during catheter care, and interviews with the resident, CNA, LPN, and Director of Nursing (DON) all acknowledged that a gown should have been worn. The resident, who had moderate cognitive impairment and an indwelling urinary catheter, also reported that staff usually did not wear gowns during care.