Failure to Maintain Resident Dignity During Insulin Administration
Penalty
Summary
The facility failed to provide dignified care during medication administration to a resident with a Brief Interview for Mental Status (BIMS) score of 10, indicating moderately impaired cognition. During breakfast, a licensed nurse moved the resident away from the dining room table where she was eating and propelled her approximately 10 feet toward a lounge area that remained visible to residents in the dining room. In this lounge area, the nurse donned gloves, performed a fingerstick blood glucose test, lifted the resident’s shirt, exposed her abdomen, and administered an insulin injection, all in a location observable to others. The nurse stated that she always completed the resident’s blood sugar checks and insulin injections in this lounge area, and acknowledged that residents seated in the dining room could see this. The facility’s dignity policy, dated 02/2015, documented that the community would promote care in a manner and environment that maintains or enhances each resident’s dignity and respect in recognition of individuality. This practice of performing blood glucose testing and insulin injections in a visible lounge area, rather than in a private location, constituted a failure to honor the resident’s right to dignity and privacy during care.
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