Improper Storage and Handling of Enteral Feeding Syringe
Penalty
Summary
A deficiency was identified regarding the management of enteral feeding equipment for a resident with multiple medical conditions, including diabetes, stroke, malnutrition, and gastrostomy status. The resident was receiving scheduled bolus feedings and water flushes through a gastrostomy tube. During observations, it was noted that the syringe used for enteral feedings and medication administration was stored with the plunger inside the syringe, wet with condensation, and placed in a plastic bag on the bedside table. After administering a feeding and water flush, the nurse did not separate or wash the syringe and plunger, instead placing them back in the bag with residual formula present. Staff interviews revealed that the nurse was unaware of the requirement to dry the syringe and plunger separately to prevent bacterial growth, although she acknowledged the need to wash the syringe if residue was present. The DON confirmed that the protocol required washing and air drying the syringe and plunger separately, and that staff had been educated on this process. The administrator also stated that the nurse should have washed and dried the equipment properly to prevent bacterial growth.