Failure to Provide Privacy Bags for Catheter Drainage Bags
Penalty
Summary
The facility failed to provide privacy bags for urinary drainage bags on Foley catheters for two residents, as required by facility policy. Observations revealed that one male resident with diagnoses including urinary retention, chronic kidney failure, and congestive heart failure was seen in both the therapy room and dining room without a privacy cover on his catheter drainage bag. Another resident was observed in bed with a Foley catheter and no privacy cover in place. The facility's policy states that privacy bags should be available and used at all times, and replaced when soiled, with a catheter change, or as needed. Interviews with LPNs confirmed that all residents with catheters are expected to have privacy bags, and that this should be checked by both nurses and CNAs. The DON also stated that privacy bags should be put in place on admission if not already present. Despite these expectations and policies, the lack of privacy covers was observed on multiple occasions for both residents, indicating a failure to follow established catheter care protocols.