Failure to Develop Comprehensive Care Plan for Resident With Foley Catheter
Penalty
Summary
Facility staff failed to develop and implement a comprehensive, resident-centered care plan with measurable goals and interventions for a resident with an indwelling Foley catheter. During observation, the resident was noted lying in bed with Foley catheter tubing and a urinary drainage bag hanging on the side of the bed, and the drainage bag was not placed in a dignity bag. Medical record review showed the resident had been admitted with diagnoses including obstructive and reflux uropathy, malignant neoplasm of the rectum, and benign prostatic hyperplasia, conditions relevant to urinary function and catheter use. Further review of the medical record did not reveal any care plan addressing the Foley catheter, including measurable goals or specific interventions for catheter management, despite the resident’s clinical conditions and the presence of the indwelling catheter. Staff interview confirmed that the resident should have had a catheter care plan in place, and the RN acknowledged the absence of such a care plan in the record.
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