Sharps Containers Overfilled in Resident Bathrooms
Penalty
Summary
Surveyors observed that two resident bathrooms contained sharps containers that were filled above the designated full line. Multiple staff interviews confirmed that the containers should be emptied when they reach the full line, but the containers in these bathrooms had not been changed as required. The responsibility for monitoring and changing the sharps containers was unclear among staff, with nursing staff indicating they were responsible, while housekeeping staff stated they did not have access to the containers. The Executive Director acknowledged there was no specific policy for emptying sharps containers and that the infection control policy did not address this issue. Staff interviews revealed inconsistent practices regarding the monitoring and replacement of sharps containers, with some staff stating they should be checked daily and changed at the full line to prevent exposure to body fluids. The lack of a clear policy and defined responsibility led to the containers being overfilled, creating an environment where residents could potentially be exposed to used sharps. The deficiency was identified through direct observation and staff interviews, with no mention of any resident being harmed at the time of the survey.