Failure to Maintain Dignity by Not Covering Urinary Catheter Drainage Bag
Penalty
Summary
The deficiency involves the facility’s failure to honor a resident’s right to dignity and privacy by not covering an indwelling urinary catheter drainage bag with a dignity/privacy pouch. A resident admitted with diagnoses including benign prostatic hyperplasia with lower urinary tract symptoms, chronic kidney disease, and diabetes had a physician’s order for an indwelling urinary catheter with catheter care every shift. During observation, the resident was lying in bed with the catheter drainage bag positioned at the side of the bed, with part of the bag resting on the floor. From the hallway, approximately 100 cc of yellow urine was visible in the drainage bag because it was not covered by a dignity/privacy pouch. When interviewed, the resident was pleasantly confused regarding the privacy of his catheter. An LPN confirmed that the drainage bag was not covered and that urine was visible from the hallway. Review of the resident’s baseline care plan showed that he had an indwelling catheter and was dependent on staff for toileting hygiene, but the care plan did not include any intervention to provide a dignity/privacy pouch for the catheter drainage bag. Review of the facility’s Resident Rights policy, dated 11/28/16, indicated that all residents had the right to be treated with dignity and respect, but the policy did not address ensuring privacy or dignity by covering indwelling catheter drainage bags. This issue affected one resident directly and had the potential to affect seven residents identified by the facility as having urinary catheters.
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