Staff Failure to Use PPE in Isolation Room
Penalty
Summary
The facility failed to ensure that staff wore personal protective equipment (PPE) when entering the room of a resident on contact and droplet isolation precautions for COVID-19. Medical record review showed that a resident with end stage renal disease, dependence on renal dialysis, and atrial fibrillation was placed on isolation precautions per physician order. During observation and interview, a CNA was seen entering and cleaning the resident's room without donning PPE, despite posted signage indicating the need for PPE and facility policy requiring all staff to wear appropriate PPE when entering rooms of residents on COVID-19 isolation. The CNA stated she was unsure if PPE was required for housekeeping duties. Facility policy review confirmed that all staff, regardless of their role, are required to use PPE in such situations.