Failure to Implement Enhanced Barrier Precautions During Wound Care
Penalty
Summary
Facility staff failed to implement infection control procedures for one of eight residents reviewed, specifically by not applying enhanced barrier precautions for a resident with chronic wounds and a Foley catheter. During wound care, the LPN responsible did not don any personal protective equipment (PPE) such as gown or gloves prior to entering the resident's room or providing care. Additionally, there was no signage or PPE related to isolation precautions visible outside the resident's room. Review of the clinical record showed no orders for or evidence of enhanced barrier precautions being implemented since the resident's admission, despite the presence of risk factors. Interviews with the director of nursing and the regional director of clinical operations confirmed that enhanced barrier precautions are required for residents with chronic wounds or indwelling medical devices. Facility policy also mandates the use of gown and gloves during high-contact care activities for such residents. However, these precautions were not followed for the resident in question, as evidenced by both observation and documentation review.