Failure to Maintain Hand Hygiene During Insulin Administration
Penalty
Summary
The facility failed to maintain proper infection prevention and control practices during medication preparation and administration. Specifically, an LPN was observed preparing a resident's insulin at the medication cart, donning gloves, and then touching the resident's insulin pens and the resident's door with gloved hands without performing hand hygiene prior to donning gloves or before administering the insulin injections. Hand hygiene was only performed after glove removal and prior to leaving the resident's room. During an interview, the LPN acknowledged that hand hygiene should have been performed prior to donning gloves after entering the resident's room and before administering the injections. The DON, with the CNM present, confirmed that the expectation is for nurses to perform hand hygiene and don fresh gloves after entering a resident's room and prior to administering injections.