| 8217 |
CHESTER NURSING CENTER |
425061 |
1 MEDICAL PARK DRIVE |
CHESTER |
SC |
29706 |
2012-05-03 |
315 |
D |
0 |
1 |
WII411 |
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** On the days of the Recertification and Extended survey, based on observation, interviews and review of the facility's policy entitled Catheter Care, the facility failed to ensure that a resident who is incontinent of bladder receives appropriate treatment and services to prevent urinary tract infections and to restore as much normal bladder function as possible for 1 of 1 resident reviewed with a Foley Catheter. Licensed Practical Nurse (LPN) #3 failed to properly cleanse Resident #8's labia, meatus and tubing during catheter care. LPN #3 also failed to wash her hands and change gloves properly during and after the procedure. The findings included: The facility admitted Resident #8 on 4/20/2011 and readmitted her on 2/6/12 with [DIAGNOSES REDACTED]. On 5/1/2012 at 3:05 PM, during observation of catheter care for Resident #8, LPN #3 assembled supplies on the resident's bedside table, washed her hands and gloved. She removed the resident's brief, then LPN #3 removed her gloves, washed her hands and put on clean gloves. LPN #3 placed a towel under the resident and assisted her into position. LPN #3 then removed her gloves and put on new gloves without washing her hands. After wetting a wash cloth, LPN #3 spread the resident's labia slightly without exposing the urinary meatus. LPN #3 wiped the edge of each side of the resident's labia and down the center, not reaching the meatus, using a new cloth for each wipe. LPN #3 then grasp the catheter tubing at the point where it met the labia and wiped the tubing one time. The LPN wiped the resident front to back on the exterior center of the labia three times and again grasp the tubing at the exterior of the labia and wiped it one time with the same area of the cloth. She then used a towel to pat the area dry. Without removing her gloves or washing her hands, LPN #3 assisted the resident to her right side, removed the towel, opened the resident's closet, took a new brief from the closet and assisted a Certified Nursing Assistant with placing the brief on the resident. She then assisted with repositioning the resident, pulling her up in the bed and repositioning her linens. After repositioning the resident, LPN #3 rinsed and dried the basin and placed it in a drawer in the residents night stand. At that time LPN #3 removed her gloves and washed her hands. During the procedure Resident #8 stated that they don't do catheter care here, we used to spread the labia and clean around the tube at the meatus, they don't do that here. On 5/1/2012 at 4:40 PM, during an interview with LPN #3, the surveyor reviewed her observations with LPN #3. LPN #3 did not disagree with the surveyors observations. LPN #3 stated that it is hard to wash your hands in that room because the resident has too much stuff in it and it's hard to spread her labia because she is a large person. Review of the facility's policy entitled Catheter Care, revealed .Procedure .5 .b) Separate labia and inspect meatus for redness, swelling and/or drainage. c) With other hand, use washcloth, soap and water to gently cleanse meatus around catheter: Wipe downward over left side, right side, and middle, refolding to a clean area of the cloth after each stroke. d) .Hold the catheter near the insertion point .e) Using a clean washcloth, rinse by wiping down the left side, right side, and middle, refolding the washcloth after each stroke. Rinse the catheter tubing as above . |
2016-06-01 |