cms_WV: 4821
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4821 | MONTGOMERY GENERAL HOSPITAL | 515081 | 401 6TH AVENUE | MONTGOMERY | WV | 25136 | 2016-02-19 | 441 | D | 0 | 1 | UI4U11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, and a review of the facility's policy/procedure, the facility's Infection Control Program failed to ensure staff employed appropriate infection control practices to help prevent the development and transmission of disease and infection. A nurse failed to wash her hands and change gloves after administering medications through a gastrostomy tube and prior to applying a topical medication to a resident's right knee. This affected one (1) of four (4) residents observed during medication pass observation. Resident Identifier: #1. Facility census: 35. Findings include: a) Resident #1 During observations of medication administration on 02/17/16 at 9:12 a.m., Licensed Practical Nurse (LPN) #32 administered Resident #1's medication through a gastrostomy tube. After administrating the medications through the resident's gastrostomy, without washing her hands or changing her gloves, the LPN applied a topical ointment ([MEDICATION NAME] gel 1%) to the resident's intact right knee. On 02/17/16 at 9:15 a.m., LPN #32, when asked about handwashing and changing gloves between administering the medications and applying the ointment to the resident's knee, she stated, I should have removed my gloves, washed my hands and re-applied a new pair of gloves to apply the topical medication to the resident's right knee. During an interview, with the DON, about the observation on 02/17/16 at 9:26 a.m., the DON stated the nurse should have removed her gloves and washed her hands, and then applied another pair of gloves prior to administering the topical medication. On 02/18/16 at 8:30 a.m., review of the facility's policy/procedure regarding applying topical ointment found it included, . the nurse will perform hand hygiene. If the skin is not broken, apply sterile gloves. Otherwise, apply clean gloves. | 2019-07-01 |