| 3405 |
LIFE CARE CTR OF LAWRENCEVILLE |
115659 |
210 COLLINS INDUSTRIAL WAY |
LAWRENCEVILLE |
GA |
30045 |
2016-11-04 |
441 |
D |
0 |
1 |
03D011 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interview, handwashing policy review and in-service review, the facility failed to ensure nursing staff performed hand washing in a manner that reduced the possibility of cross contamination during wound care for two of two resident treatments observed for resident (R) 318 and R334). Findings include: Observation of wound care treatment for [REDACTED]. 11:02 a.m. applied soap, did one rotary turn of hands together, rinsed five seconds under water and pulled a paper towel to dry hands. 11:05 a.m. applied soap, did two rotary turns of hands together, rinsed three seconds under water and pulled a paper towel to dry hands. 11:10 a.m. applied soap and performed a four second hand scrub time, rinsed and pulled a paper towel to dry hands. 11:14 a.m. applied soap, performed a two second scrub time, rinsed used a paper towel to dry hands. Observation of wound care treatment for [REDACTED]. 12:11 p.m. applied soap, rubbed hands together, rinsed and eight seconds after applying soap pulled a towel to dry hands. 12:23 p.m. applied soap, rubbed hands together, rinsed and eight seconds after applying soap pulled a towel to dry hands. 12:26 p.m. applied soap, performed an eight second hand scrub, rinsed and pulled a towel to dry hands 14 seconds after applying soap. 12:30 p.m. applied soap, performed a five second hand scrub, rinsed and pulled the paper towel to dry hands. 12:35 p.m. applied soap, scrubbed hands together for three seconds, rinsed for five seconds and pulled the paper towel to dry hands. In an interview on 11/3/16 at 3:50 p.m. the Director of Nursing stated staff were expected to scrub hands together (with soap) for 20 seconds and added there was no policy regarding wound care handwashing or glove changing. In an interview on 11/3/16 at 4:10 p.m. RN DD stated during a hand wash, one was to scrub for 20-25 seconds. She described the hand washing process as: apply soap, wet with water, scrub hands and back of hands for at least 20 seconds, rinse, dry hands then get a new paper towel to turn off the water. A review of the sign-in sheet for an in-service entitled Infection Control on 5/20/16, that contained RN DD's signature, revealed an outline for the training that listed I. General Infection Control Principles [NAME] Handwashing . as topics. A review of a second in-service sign-in sheet, entitled Nurses Meeting, that showed RN DD's signature as attending on 8/31/16 had attached policy entitled Hand Hygiene dated 5/1/12 that indicated Handwashing: When hands are visibly dirty or contaminated with proteinaceous material or are visibly soiled with blood or other body fluids, wash hands with either a non-antimicrobial soap and water or antimicrobial soap and water. 1. Turn on water to a comfortably warm temperature. 2. Moisten hands with soap and water and make a heavy lather. 3. Wash well under running water for a minimum of 20 seconds, using a rotary motion and friction. 4. Rinse hands well under running water. 5. Dry thoroughly with a disposable towel. 6. Use a towel to turn off the faucet then discard. A review of the facility's handwashing policy revealed it contained the same information as the procedure presented in the above 8/31/16 in-service. |
2020-09-01 |