Failure to Maintain Resident Dignity by Not Covering Gall Bladder Drainage Bag
Penalty
Summary
A deficiency was identified when a resident with a diagnosis of acute cholecystitis and a gall bladder tube (C-tube) was observed with her gall bladder drainage bag uncovered and in public view. The resident's physician order specifically required that the bag be covered with a pillowcase for privacy and dignity. During the survey, the Assistant Director of Nursing (ADON) and the surveyor observed the uncovered bag on the resident's bed. The ADON acknowledged that the bag should have been covered for dignity reasons and was unsure why it was not. Further interviews with nursing staff, including an LVN and another ADON, confirmed that the bag was not covered during their rounds and that it should have been concealed for privacy, infection control, and dignity. The Director of Nursing (DON) also confirmed that the resident should have had a privacy bag or pillowcase to cover the gall bladder bag, as required by facility policy and physician orders. The facility's policy on dignity emphasized the importance of caring for residents in a manner that promotes their well-being and self-esteem.