Failure to Provide Proper Catheter Care and Maintain Privacy for a Resident with Indwelling Catheter
Penalty
Summary
The deficiency involves the facility’s failure to follow its catheter care policy and to maintain privacy and dignity for a resident with an indwelling urinary catheter. The facility’s undated catheter care policy states that residents with indwelling catheters are to receive appropriate catheter care, with dignity and privacy maintained, and specifies that privacy bags will be available and catheter drainage bags will be covered at all times while in use. During observation, the resident’s urinary collection bag was hanging on the bed frame facing the hallway, visibly showing pink-tinged urine, and was not covered by a dignity/privacy bag as required by the policy. The resident involved was admitted with diagnoses including hematuria, chronic kidney disease, benign prostatic hyperplasia with lower urinary tract symptoms, urinary retention, presence of urogenital implants, prostate cancer, and a history of UTIs, and had an indwelling urinary catheter ordered for urinary retention. The care plan documented that the resident was on Enhanced Barrier Precautions due to the indwelling catheter. During observed catheter care, the CNA performed hand hygiene, donned gloves and a gown, and cleansed the resident’s penis; however, the resident was uncircumcised and the CNA did not retract the foreskin during cleansing, contrary to the facility’s policy and accepted practice as later confirmed by the administrator and DON. The CNA also acknowledged that the catheter bag should have been covered, confirming the failure to provide appropriate catheter care and to maintain privacy and dignity for this resident.
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