Failure to Provide Proper Incontinence and Catheter Care
Penalty
Summary
Staff failed to provide complete and appropriate incontinence and catheter care for two residents. In one instance, a CNA emptied a resident's catheter bag, cleaned the catheter end prior to emptying, but after emptying the urine, closed the end and placed it back into the bag without cleaning it again. The CNA then cleaned up supplies, removed gown and gloves, and performed hand hygiene, but did not follow proper protocol for cleaning the catheter tubing after emptying. In another instance, a CNA assisted a resident with toileting and peri care but used the same side of a disposable wipe multiple times to clean both the perineal area and rectum, increasing the risk of contamination. The CNA also pulled up the resident's brief and clothing and adjusted her sweater while still wearing soiled gloves, only removing gloves and performing hand hygiene after the resident was back in her wheelchair. The Regional Nurse Consultant confirmed that staff are expected to use a clean part of the wipe for each stroke and to use an alcohol swab after emptying catheter tubing.