cms_NH: 36
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 36 | GREENBRIAR HEALTHCARE | 305005 | 55 HARRIS ROAD | NASHUA | NH | 3062 | 2019-10-28 | 880 | D | 0 | 1 | TYS711 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and policy review, it was determined that the facility failed to maintain infection control in regards to hand hygiene during medication administration for 2 out of 37 medication administration observed. (Resident identifiers are #46 and #136.) Findings include: Review on 10/24/19 of facility's policy titled, Handwashing/Hand Hygiene, revision dated 4/2018, revealed that .Use an alcohol-based hand rub .alternatively soap . and water for the following situations: .before and after direct contact with residents .before preparing or handling medications .before and after handling an invasive device (intravenous access sites) .before donning gloves . .Washing hands 1. Vigorously lather hands with soap and rub them together, creating friction to all surfaces, for a minimum of 20 seconds or longer, under a moderate stream of running water, at a comfortable temperature . 2. Rinse hands thoroughly under running water. Hold hands lower than wrist. Do not touch fingertips to inside of sink . 3. Dry hands thoroughly with paper towels and then turn off faucets with a clean, dry paper towel . .Using Alcohol-Based Hand Rub (ABHR) 1. Apply generous amount of product to palm of hand and rub hands together . 2. Cover all surfaces of hands and fingers until hands are dry . Resident #136 Observation on 10/23/19 at 1:30 p.m. with Staff C (Unit Manager) during Resident #136's medication administration of Klonopin (benzodiazapine) revealed that Staff C went into Resident #136 room then left the room with medication cup in hand and headed to the supply closet and obtained a unopened 60 ml (milliliter) syringe and 500 ml basin. Staff C went to Resident #136's bathroom, opened the 60 ml syringe package and washed the 500 ml basin and the 60 ml syringe. Staff C went to Resident #136 without performing hand hygiene and used Resident #136's side table, placed the 500 ml basin and 60 ml syringe on the table and the crushed Klonopin in a medication cup then Staff C donned gloves. Staff C removed gloves and left Resident #136's room with medication cup in hand and went to the nurse's station and answered a doctor's phone call. After the phone call Staff C went back to Resident #136's room with the medication cup, Staff C donned new gloves without performing hand hygiene, and used the 60 ml syringe to push air to the [DEVICE] to check placement then administered the medication the flushed the [DEVICE]. Interview on 10/24/19 at 9:20 a.m. with Staff C confirmed above observation. Staff C was unable to provide explanation for not performing hand hygiene prior to medication administration. Resident #46 Observation on 10/23/19 at 2:00 p.m. with Staff A (Unit Manager) during medication administration of Meropenem for Resident #46 revealed that Staff A went to Resident #46's room, washed their hands with soap and water, dried their hands with paper towel then donned gloves. Staff A then removed gloves went out of Resident #46's room and went to the 5-2 treatment cart and obtain alcohol wipes. Staff A went back to Resident #46's room, donned gloves without performing hand hygiene and continued to flush Resident #46's PICC line catheter, prime the administration set with the Meropenem medication and administered Resident #46's Meropenem. Interview on 10/24/19 at 9:10 a.m. with Staff A confirmed above findings. Staff A stated that they thought that they did hand hygiene prior to medication administration. | 2020-09-01 |