Failure to Follow Respiratory Care Protocols for Oxygen and Nebulizer Equipment
Penalty
Summary
The facility failed to provide appropriate respiratory care for two residents who required oxygen and nebulizer treatments. For one resident with diagnoses including depression, neurogenic bladder, and quadriplegia, physician orders specified oxygen administration as needed. However, during observation, the nasal cannula was found lying on top of the oxygen concentrator and not stored in a plastic bag when not in use, contrary to facility policy. An LPN confirmed that the cannula was not properly stored. For another resident with depression, heart failure, and COPD, physician orders required nebulizer treatments as needed. Observation revealed that the nebulizer machine and tubing were left on the bedside table, with the tubing undated and not stored in a bag as required by policy. An LPN confirmed these findings. The Director of Nursing acknowledged that the facility did not provide appropriate respiratory care for these residents.
Plan Of Correction
F 0695 Resident 3 and Resident 65 had their nasal cannula bagged and dated immediately when found. All residents that have a nasal cannula will be reviewed to assure they are bagged when not in use and all tubing is dated. The Director of Nursing or Designee will educate Nursing staff on protocol for bagging the oxygen equipment and dating the tubing. The Director of Nursing or designee will audit bagging the oxygen equipment and dating the tubing weekly times 3 and monthly times 2. Results will be turned into the monthly Quality Assurance meeting.