Failure to Properly Store Nebulizer Mask for Resident with COPD
Penalty
Summary
The facility failed to provide safe and appropriate respiratory care for a resident with COPD by not storing the resident's nebulizer mask in a bag when not in use. During observation, the nebulizer mask and tubing were found uncovered on top of a small refrigerator at the resident's bedside. Interviews with staff, including the ADON, DON, and an LVN, confirmed that the nebulizer mask should have been stored in a bag to prevent contamination and infection, but this was not done at the time of observation. Record review showed that the resident had a history of COPD and was prescribed nebulizer treatments as needed. The resident's care plan included interventions for breathing treatments, and physician orders specified the use of Albuterol Sulfate via nebulizer. Despite these orders and interventions, the facility's policy on small volume nebulizers did not address storage of respiratory items when not in use, contributing to the failure to maintain sanitary conditions for respiratory equipment.