Deficient Catheter Care and Infection Control Practices
Penalty
Summary
The facility failed to provide appropriate catheter care management for two residents with indwelling urinary catheters, resulting in deficiencies related to the prevention of urinary tract infections (UTIs). One resident with a suprapubic catheter and limited mobility was observed with their catheter bag touching the floor while seated in a wheelchair, and staff did not secure the bag off the floor during care. Additionally, catheter care was performed improperly, with a CNA using the same soiled wipe in a back-and-forth motion on the catheter tubing and not changing gloves after touching other items. This resident had a recent history of urinary retention and was diagnosed with a UTI associated with the indwelling catheter, requiring antibiotic treatment and catheter replacement. Another resident, also dependent on staff for catheter and incontinence care, was observed receiving catheter care in which the tubing was scrubbed in a back-and-forth motion, contrary to facility policy. Interviews with staff revealed a lack of knowledge regarding proper catheter care techniques, such as using a new wipe for each swipe and ensuring catheter bags and tubing do not touch the floor. Staff acknowledged difficulties in keeping catheter bags off the floor and inconsistencies in following infection control protocols, including hand hygiene and glove changes.