Failure to Maintain Proper PPE Use and Enhanced Barrier Precautions
Penalty
Summary
The deficiency involves failures in the facility’s infection prevention and control practices, specifically related to PPE use and Enhanced Barrier Precautions (EBP). During observation of the 300 hall, a CNA was seen exiting a resident’s room while still wearing a gown and gloves. In a subsequent interview, the CNA acknowledged that she was required to remove PPE before leaving the room and confirmed she did not follow this requirement. The Infection Prevention Coordinator stated that staff are expected to don PPE before entering a room and doff it before exiting, and that new PPE should be used each time staff re-enter a room to provide care. The facility also failed to implement EBP measures for a resident with specific infection risks. An observation showed there was no EBP signage or PPE available near this resident’s door or room. Record review revealed the resident had been admitted with enterocolitis due to Clostridium difficile and urinary retention. During an interview and observation, the resident confirmed admission with a C. diff diagnosis and the presence of a Foley catheter. An LVN confirmed that EBP should have been in place due to the resident’s current use of a catheter and diagnosis of C. diff, but these measures were not evident near the resident’s room.
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