cms_DC: 2579
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2579 | CAPITOL HILL NURSING CENTER | 95027 | 700 CONST. AVE. NE | WASHINGTON | DC | 20002 | 2010-08-23 | 281 | D | 3GVT11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations during the medication pass conducted on August 17, 2010 at 10:30 AM, it was determined that facility staff failed to use appropriate standard of care technique while administering medication via gastrostomy tubing ([DEVICE]) for one (1) resident. Resident MS1. The findings include: During medication pass observation conducted on August 17, 2010 at 10:30 AM on 4th floor, Employee #30 washed his/her hands and donned a pair of gloves then spread strips of paper towels across Resident MS1's thighs for a protective barrier. He/she disconnected the [DEVICE] from feeding tube and clamped off the feeding tube portion. Employee #30 checked for [DEVICE] placement and residual then flushed the [DEVICE]. After Employee #30 completed flushing the [DEVICE] it was observed that the y- connector was not at the end of the G-tubing. Employee #30 then tied a loose knot in [DEVICE] and laid it on the strips of paper towels. At this time the fluid content within the G- tubing seeped out of the tubing and on to the paper towels, soaking through the paper towels and wetting the resident ' s bed linen before the administration of medication via [DEVICE]. According to Medpass .com " ...Disconnect plunger from 60cc syringe and connect syringe to clamped tubing. Put 15-30 cc of water in syringe and flush tubing with gravity flow. Clamp tubing after the syringe is empty, allowing water to stay into tubing. Pour dissolved/diluted medication into syringe and unclamped tubing, allowing medication to flow by gravity. Flush tubing with 15-30 cc of water, or prescribed amount. Allow water to remain in tubing. Clamp tubing and detached syringe. Restart continuous feeding " . Facility staff failed to use appropriate standard of care technique when he/she failed to clamp G-tubing while administering resident medication via [DEVICE]. A face-to-face interview was conducted on August 17, 2008 at 10:35 AM with Employee #30. He/she acknowledged the findings when he/she explained that the paper towels were used as a barrier to prevent resident's clothing and bed linen from being wet. The record was reviewed on August 17, 2010. | 2014-01-01 |