cms_GA: 130
Data source: Big Local News · About: big-local-datasette
| rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 130 | AZALEA HEALTH AND REHABILITATION CENTER | 115044 | 1600 ANTHONY ROAD | AUGUSTA | GA | 30907 | 2017-10-26 | 441 | E | 0 | 1 | 8OVO11 | Based on observation, record review, and staff interview, the facility failed to practice acceptable infection control practices to prevent possible cross-contamination as evidenced by not cleaning a glucometer (a device used to check blood sugars) before and after use; properly dispose of lancets used to obtain blood; provide a clean barrier between clean and contaminated objects or surfaces; perform hand hygiene when indicated; and wear gloves when contact with blood was possible. There was a total of eleven observations made of glucometer use and cleaning with concerns by one of seven nurses observed. The facility census was 85 residents, and the sample size was 46. Findings include: During interview with the Director of Nursing (DON) on 10/26/17 at 4:40 p.m., she stated her expectation was that staff clean the glucometer before and after use according to the manufacturer's instructions, and for the glucometer to maintain contact with the Clorox wipe for three minutes. She stated during further interview that the lancet used to obtain the fingerstick blood sugar (FSBS) should be disposed of in the sharps container, and that staff should wear gloves when doing the FSBS. During continued interview she stated that some sort of barrier should be used to place the glucometer on, such as a paper towel. During interview with the DON on 10/26/17 at 9:42 p.m., she stated that since she started working at the facility in (MONTH) no inservices had been done on how to clean the glucometer, and she could find no inservices on glucometer cleaning for the past year. She further stated that they were inservicing staff today on how to properly clean a glucometer, and return demonstrations were done by each nurse. During continued interview, the DON stated that Registered Nurse (RN) CC had been sent home for the day, and would not be allowed to independently work on a med cart until further training was provided. Review of the facility's Glucometer Decontamination Resident Care Policy revised 9/2015 revealed: The glucometer shall be decontaminated with the facility approved wipes following use on each resident. Gloves will be worn and the manufacturer's recommendations will be followed. The nurse will obtain the glucometer along with the wipes and place the glucometer on the overbed table on a clean surface, e.g., paper towel, wax paper. After performing the glucometer testing, the nurse shall perform hand hygiene, don gloves, and use the disinfectant wipe to clean all external parts of the glucometer. Gloves shall be removed, hand hygiene performed and clean gloves shall be donned. A second wipe shall be used to disinfect the glucometer, allowing the meter to remain wet for the contact time required by the disinfectant label. The clean glucometer will be placed on another paper towel. Gloves will be removed and hand hygiene performed. Review of the facility's Blood Glucose Monitoring policy revised 5/12/17 noted: The Centers for Disease Control and Prevention (CDC) recommends that, whenever possible, blood glucose meters should not be shared among patients. If a device must be shared, you should clean and disinfect it after every use following the manufacturer's instructions to prevent carryover of blood and infectious agents. After collecting the blood sample, discard the lancet in a puncture-resistant sharps container. Remove and discard your gloves and perform hand hygiene. Clean and disinfect the blood glucose meter using a disinfectant pad following the blood glucose meter manufacturer's instructions. Contaminated blood glucose monitoring equipment increases the risk of infection by such bloodborne pathogens as hepatitis B, hepatitis C, and human immunodeficiency virus. Perform hand hygiene. During observation on 10/25/17 at 5:32 p.m., Registered Nurse (RN) CC was noted to perform Finger Stick Blood Sugar (FSBS) check during routine afternoon med pass. The EvencareG3 Glucometer was lying on top of the medication cart when surveyor approached RN. Registered Nurse gathered the supplies, including glucometer, lancet, alcohol swabs and cotton balls. She failed to cleanse the glucometer before entering the residents room. Upon entering the residents room, she proceeded to lay all the supplies needed for the FSBS on the residents bed, without using a protective barrier. Registered nurse did not wash her hands before performing FSBS, nor did she wear any gloves during the procedure. Post procedure, RN gathered up the used supplies, including the lancet, and discarded them in the red trash bin on the med cart. She placed the glucometer on top of the med cart, without cleansing the meter. She did not wash her hands after performing the procedure. Surveyor asked the RN if she had any other FSBS to check at this time and she replied No. She proceeded down Unit one hallway to administer meds to residents. Interview on 10/26/17 at 4:38 p.m., with DON, stated it is her expectation that staff clean the glucometer before and after each use for three minutes wetness, wearing gloves, disposing of sharps in sharps containers. She further stated that the nurses are to use a barrier between clean and dirty fields. She states that there has not been any inservice trainings for the nursing staff in the past year. Review of the Medline Operator's Manual revealed that the glucose meter should be cleaned and disinfected between each patient use using Clorox Healthcare Germicidal and Disinfecting wipes for one minute, and then allow to air dry. | 2020-09-01 |