Improper Positioning of Indwelling Catheter Bag on Garbage Can
Penalty
Summary
Surveyors identified a deficiency in infection prevention and control related to the care of a resident with an indwelling urinary catheter. The resident’s MDS documented a BIMS score of 15, indicating no cognitive impairment, and diagnoses including acute and chronic respiratory failure with hypoxia, unspecified nondisplaced fracture of the seventh cervical vertebra, unspecified fracture of the first thoracic vertebra, functional quadriplegia, and a need for assistance with personal care. The MDS and care plan documented the presence of an indwelling catheter for obstructive uropathy, with interventions directing staff to position the catheter bag and tubing below the level of the bladder and away from the entrance room door, and to monitor for symptoms of infection. During an observation in the resident’s room with the DON present, the resident’s catheter bag was seen hanging from a garbage can next to the resident’s recliner without a cover or dignity bag. At the time of the observation, the DON stated that placing the catheter bag on the garbage can was an infection control issue and that she would expect the catheter bag to be hung somewhere else that was not the side of the garbage can.
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