Failure to Provide Privacy Cover for Catheter Bag Compromises Resident Dignity
Penalty
Summary
A deficiency was identified when a male resident with a history of kidney disease, heart failure, ureteral obstruction, and cerebral infarction was observed with an indwelling urinary catheter bag that was not covered by a privacy bag. The resident's care plan and physician's orders specifically required the use of a privacy bag to cover the catheter bag for dignity. During the observation, the catheter bag was visible from the hallway due to the resident's open door, and the resident reported never having seen a privacy bag cover for his catheter. He expressed that having the bag covered would be preferable and more dignified. Interviews with facility staff, including an LVN, the DON, and the Administrator, confirmed awareness that catheter bags should be covered with a privacy bag as per care plan and physician orders. The LVN was unsure why the privacy bag was not in place and acknowledged the importance of covering the catheter bag for dignity. Both the DON and Administrator stated that failing to cover the catheter bag could result in dignity issues for residents, especially when it is part of the care plan and physician's orders.